Chatterton, Jeremy Daniel

Chatterton, Jeremy Daniel is an individual health care provider with primary practice located at 3483 E 3195 N , Kimberly ID 83341-5353. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Chatterton, Jeremy Daniel can be contacted via phone (208) 751-5308.

Contact Information

Primary practice address
3483 E 3195 N Kimberly ID 83341-5353
Phone: (208) 751-5308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP-3273 Idaho

Profile Details

NPI number 1134645013
LBN Legal business name Chatterton, Jeremy Daniel
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2017
Last updated May 19th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134645013 NPPES
Idaho Other SLP-3572 DIVISION OF OCCUPATION AND PROFESSIONAL LICENSES
Idaho Other TSLP-3273 DIVISION OF OCCUPATION AND PROFESSIONAL LICENSES

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