Basham, Jill Nicole
Basham, Jill Nicole is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. 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. Basham, Jill Nicole can be contacted via phone (602) 628-8597.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (602) 628-8597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP7396 | Arizona |
Profile Details
| NPI number | 1033456736 |
|---|---|
| LBN Legal business name | Basham, Jill Nicole |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2013 |
| Last updated | Jan 15th, 2013 - about 12 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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