Paul, Trace Jean

Paul, Trace Jean is an sole proprietor health care provider with primary practice located at 1161 2Nd Ave S , Okanogan WA 98840-9709. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Paul, Trace Jean can be contacted via phone (509) 422-0630.

Contact Information

Primary practice address
1161 2Nd Ave S Okanogan WA 98840-9709
Phone: (509) 422-0630
Fax: (509) 422-0630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00020264 Washington

Profile Details

NPI number 1700939923
LBN Legal business name Paul, Trace Jean
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700939923 NPPES
Washington Other MA00020264 WA STATE LICENSE

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