Mackimm, Jessica Ellen
Mackimm, Jessica Ellen is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. 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. Mackimm, Jessica Ellen can be contacted via phone (206) 520-5000.Contact Information
Primary practice address
1959 Ne Pacific St
Seattle WA 98195-0001
Phone: (206) 520-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2020019040 | Missouri |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL61455027 | Washington |
Profile Details
| NPI number | 1932754306 |
|---|---|
| LBN Legal business name | Mackimm, Jessica Ellen |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2019 |
| Last updated | Aug 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932754306 | NPPES |
| Missouri | MEDICAID | 460086824 |
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