Poole, Jeannie L

Poole, Jeannie L is an individual health care provider with primary practice located at 852 Commerce Ave , Longview WA 98632-2406. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Poole, Jeannie L can be contacted via phone (360) 501-3750.

Contact Information

Primary practice address
852 Commerce Ave Longview WA 98632-2406
Phone: (360) 501-3750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1144430398
LBN Legal business name Poole, Jeannie L
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Nov 14th, 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 1144430398 NPPES
Washington Other 8944617 CRIME VICTIMS
Washington Other 0221530 CRIME VICTIMS
Washington MEDICAID 8483760 CRIME VICTIMS

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