Massengill, Jill Dianne
Massengill, Jill Dianne is an individual health care provider with primary practice located at 249 Main Ave. S. Suite B, North Bend WA 98045. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Massengill, Jill Dianne can be contacted via phone (425) 888-4170.Contact Information
Primary practice address
249 Main Ave. S. Suite B
North Bend WA 98045
Phone: (425) 888-4170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2722 | Washington |
Profile Details
| NPI number | 1578694717 |
|---|---|
| LBN Legal business name | Massengill, Jill Dianne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1578694717 | NPPES |
| Washington | Other | 35211 | WA L&I |
| Washington | MEDICAID | 2016442 | WA L&I |
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