Waters, Jacquelyn A
Waters, Jacquelyn A is an sole proprietor health care provider with primary practice located at 64-5117 White Rd , Kamuela HI 96743-8239. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Waters, Jacquelyn A can be contacted via phone (808) 344-0429.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAT-2697 | Hawaii |
Profile Details
| NPI number | 1952816977 |
|---|---|
| LBN Legal business name | Waters, Jacquelyn A |
| Credentials | MAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2017 |
| Last updated | Dec 13th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952816977 | NPPES |
| Hawaii | Other | MAT-2697 | MASSAGE LICENSE |
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