Kaulaity, Jesse Joseph
Kaulaity, Jesse Joseph is an sole proprietor health care provider with primary practice located at Corner Of Route N12 And N7 , Fort Defiance AZ 86504-0649. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kaulaity, Jesse Joseph can be contacted via phone (928) 729-8508.Contact Information
Primary practice address
Corner Of Route N12 And N7
Fort Defiance AZ 86504-0649
Phone: (928) 729-8508
Fax: (928) 729-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1215223458 |
|---|---|
| LBN Legal business name | Kaulaity, Jesse Joseph |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2011 |
| Last updated | Jun 27th, 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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