Bosarge, Jenna
Bosarge, Jenna is an sole proprietor health care provider with primary practice located at 212 W 3Rd St Sw , Rome GA 30165-2802. 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. Bosarge, Jenna can be contacted via phone (706) 295-4242.Contact Information
Primary practice address
212 W 3Rd St Sw
Rome GA 30165-2802
Phone: (706) 295-4242
Fax: (706) 295-4260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1497473698 |
|---|---|
| LBN Legal business name | Bosarge, Jenna |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2022 |
| Last updated | Aug 15th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497473698 | NPPES |
| Georgia | Other | SLP012243 | GA LICENSE |
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