Mactavish, Jodie Kim

Mactavish, Jodie Kim is an sole proprietor health care provider with primary practice located at 3096 I-70 Business Loop Suite D, Grand Junction CO 81504-5774. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Reflexologist. Other Service Providers / Acupuncturist is her primary health care specialty. Mactavish, Jodie Kim can be contacted via phone (970) 434-8500.

Contact Information

Primary practice address
3096 I-70 Business Loop Suite D Grand Junction CO 81504-5774
Phone: (970) 434-8500
Fax: (970) 434-8500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X ELECTROACUPUNCTURE Colorado
Other Service Providers / Reflexologist 173C00000X N/A CERTIFICATION Colorado

Profile Details

NPI number 1366733545
LBN Legal business name Mactavish, Jodie Kim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2011
Last updated Apr 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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