Jandoc, James Kimo

Jandoc, James Kimo is an sole proprietor health care provider with primary practice located at 1610 Grover St Ste C3 , Lynden WA 98264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is his primary health care specialty. Jandoc, James Kimo can be contacted via phone (360) 510-4630.

Contact Information

Primary practice address
1610 Grover St Ste C3 Lynden WA 98264
Phone: (360) 510-4630
Fax: (360) 935-9731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MA00015681 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00015681 Washington

Profile Details

NPI number 1255649869
LBN Legal business name Jandoc, James Kimo
Credentials OMT, LMT, STMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2010
Last updated May 24th, 2018 - about 7 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 1255649869 NPPES
Washington Other 0152465 WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRY

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