Bauer, Jessica
Bauer, Jessica is an individual health care provider with primary practice located at 5535 S Williamson Blvd Ste 774 , Port Orange FL 32128-8321. 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. Bauer, Jessica can be contacted via phone (888) 265-2680.Contact Information
Primary practice address
5535 S Williamson Blvd Ste 774
Port Orange FL 32128-8321
Phone: (888) 265-2680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1370 | North Dakota |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-5948 | Montana |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 28636 | California |
Profile Details
| NPI number | 1639579766 |
|---|---|
| LBN Legal business name | Bauer, Jessica |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2014 |
| Last updated | Jun 2nd, 2020 - about 5 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 | 1639579766 | NPPES |
| North Dakota | Other | 1370 | LICENSE |
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