Donnaway, Jessica Ellen

Donnaway, Jessica Ellen is an individual health care provider with primary practice located at 201 E 12Th St , Durango CO 81301-5206. 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. Donnaway, Jessica Ellen can be contacted via phone (970) 247-5411.

Contact Information

Primary practice address
201 E 12Th St Durango CO 81301-5206
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 330291 New Mexico

Profile Details

NPI number 1891946455
LBN Legal business name Donnaway, Jessica Ellen
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2008
Last updated Aug 17th, 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 1891946455 NPPES
New Mexico MEDICAID 73126837

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