Davis, Jamie Lynne

Davis, Jamie Lynne is an sole proprietor health care provider with primary practice located at 30736 Highway 200 Ste 104 , Ponderay ID 83852-8701. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Other Service Providers / Acupuncturist is her primary health care specialty. Davis, Jamie Lynne can be contacted via phone (208) 264-0644.

Contact Information

Primary practice address
30736 Highway 200 Ste 104 Ponderay ID 83852-8701
Phone: (208) 264-0644
Fax: (888) 979-6134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC600065362 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00023205 Washington
Other Service Providers / Acupuncturist 171100000X ACU-348 Idaho

Profile Details

NPI number 1407092604
LBN Legal business name Davis, Jamie Lynne
Credentials DAOM, LAC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2008
Last updated Oct 13th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407092604 NPPES
Idaho Other ACU-348 INSURANCE

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