Deese, Jackie
Deese, Jackie is an individual health care provider with primary practice located at 580 Farringdom Street , Lumberton NC 28358. 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. Deese, Jackie can be contacted via phone (910) 671-9629.Contact Information
Primary practice address
580 Farringdom Street
Lumberton NC 28358
Phone: (910) 671-9629
Fax: (910) 671-9630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6141 | North Carolina |
Profile Details
| NPI number | 1134339625 |
|---|---|
| LBN Legal business name | Deese, Jackie |
| Credentials | SPEECH THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | May 17th, 2016 - about 10 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 | 1134339625 | NPPES |
| North Carolina | MEDICAID | 7412452 |
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