Jax, Katelyn

Jax, Katelyn is an individual health care provider with primary practice located at 78 S Main St , Rutland VT 05701-4591. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Jax, Katelyn can be contacted via phone (802) 775-2381.

Contact Information

Primary practice address
78 S Main St Rutland VT 05701-4591
Phone: (802) 775-2381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1073380465
LBN Legal business name Jax, Katelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2023
Last updated Dec 6th, 2023 - about 3 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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