Dillman, Jessica Sue Rose

Dillman, Jessica Sue Rose is an sole proprietor health care provider with primary practice located at 9720 S Tacoma Way , Lakewood WA 98499-4456. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dillman, Jessica Sue Rose can be contacted via phone (253) 503-3666.

Contact Information

Primary practice address
9720 S Tacoma Way Lakewood WA 98499-4456
Phone: (253) 503-3666
Fax: (253) 302-8493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 80-0461504 Washington

Profile Details

NPI number 1174001341
LBN Legal business name Dillman, Jessica Sue Rose
Credentials CO60579677
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174001341 NPPES
Washington MEDICAID 80-0461504

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