Jacoby, Alicia Katherine

Jacoby, Alicia Katherine is an sole proprietor health care provider with primary practice located at 1612 Ne 78Th St , Vancouver WA 98665. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Jacoby, Alicia Katherine can be contacted via phone (360) 573-3223.

Contact Information

Primary practice address
1612 Ne 78Th St Vancouver WA 98665
Phone: (360) 573-3223
Fax: (360) 573-3224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA00016071 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00016071 Washington

Profile Details

NPI number 1508814187
LBN Legal business name Jacoby, Alicia Katherine
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Mar 22nd, 2011 - about 15 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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