Autenrieth, Jane Katherine

Autenrieth, Jane Katherine is an sole proprietor health care provider with primary practice located at 2080 W Eau Gallie Blvd , Melbourne FL 32935-3152. 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. Autenrieth, Jane Katherine can be contacted via phone (407) 694-3603.

Contact Information

Primary practice address
2080 W Eau Gallie Blvd Melbourne FL 32935-3152
Phone: (407) 694-3603
Fax: (321) 296-7130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8803 Florida

Profile Details

NPI number 1720171010
LBN Legal business name Autenrieth, Jane Katherine
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Oct 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720171010 NPPES
Florida MEDICAID 889892800

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