Jacobson, Dana
Jacobson, Dana is an sole proprietor health care provider with primary practice located at 4311 106Th Pl Ne , Kirkland WA 98033-7919. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jacobson, Dana can be contacted via phone (425) 827-0505.Contact Information
Primary practice address
4311 106Th Pl Ne
Kirkland WA 98033-7919
Phone: (425) 827-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00001346 | Washington |
Profile Details
| NPI number | 1265427249 |
|---|---|
| LBN Legal business name | Jacobson, Dana |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Oct 15th, 2012 - about 14 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 | 1265427249 | NPPES |
| Washington | Other | LL00001346 | WA STATE SLP LICENSE |
| Washington | Other | 8337990 | WA STATE SLP LICENSE |
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