Thor, Jessica
Thor, Jessica is an sole proprietor health care provider with primary practice located at 19102 State Route 410 E Ste A , Bonney Lake WA 98391-8449. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Thor, Jessica can be contacted via phone (253) 863-6378.Contact Information
Primary practice address
19102 State Route 410 E Ste A
Bonney Lake WA 98391-8449
Phone: (253) 863-6378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA 00019936 | Washington |
Profile Details
| NPI number | 1720387525 |
|---|---|
| LBN Legal business name | Thor, Jessica |
| Credentials | LMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2011 |
| Last updated | Apr 20th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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