Bush, Jill
Bush, Jill is an sole proprietor health care provider with primary practice located at 301 S Ferdon Blvd , Crestview FL 32536-3701. 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. Bush, Jill can be contacted via phone (850) 306-1277.Contact Information
Primary practice address
301 S Ferdon Blvd
Crestview FL 32536-3701
Phone: (850) 306-1277
Fax: (850) 306-1263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 04630 | Maryland |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA12763 | Florida |
Profile Details
| NPI number | 1194083584 |
|---|---|
| LBN Legal business name | Bush, Jill |
| Credentials | CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Aug 14th, 2014 - 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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