Breckow, Jacqulyn
Breckow, Jacqulyn is an sole proprietor health care provider with primary practice located at 690 E Warner Rd Suite #105, Gilbert AZ 85296-3054. 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. Breckow, Jacqulyn can be contacted via phone (480) 820-6366.Contact Information
Primary practice address
690 E Warner Rd Suite #105
Gilbert AZ 85296-3054
Phone: (480) 820-6366
Fax: (480) 820-0462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | TSLP4726 | Arizona |
Profile Details
| NPI number | 1689737421 |
|---|---|
| LBN Legal business name | Breckow, Jacqulyn |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Dec 18th, 2012 - about 14 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 | 1689737421 | NPPES |
| Arizona | MEDICAID | 948317 |
Popular Providers
-
Demeuse, Amy
55 N Greenfield Rd , Gilbert AZ 85234-6220 -
Ware, Jennifer Marie
140 S Gilbert Rd , Gilbert AZ 85296-1016 -
Jones, Leah Anne
140 S Gilbert Rd , Gilbert AZ 85296-1016 -
Powell, Deborah Ann
3341 E Queen Creek Rd # 109, Gilbert AZ 85297-8503 -
Adams, Lynn
1724 S Rockwell St , Gilbert AZ 85296-5196 -
Baca, Brenda Audrey
321 W. Juniper St , Gilbert AZ 85233 -
Huff, Jennifer M.
4023 E Sidewinder Ct , Gilbert AZ 85297-8386 -
Howard, Jackie Ann
175 W Elliot Rd , Gilbert AZ 85233-5446