Chan, Jodie

Chan, Jodie is an sole proprietor health care provider with primary practice located at 5757 Flewellen Oaks Ln Ste 604 , Fulshear TX 77441-1858. 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. Chan, Jodie can be contacted via phone (281) 969-3692.

Contact Information

Primary practice address
5757 Flewellen Oaks Ln Ste 604 Fulshear TX 77441-1858
Phone: (281) 969-3692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 13815645 Texas

Profile Details

NPI number 1639407919
LBN Legal business name Chan, Jodie
Credentials M.A., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2009
Last updated Dec 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639407919 NPPES
Texas MEDICAID 1639407919

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