Elomaa, Jennifer L

Elomaa, Jennifer L is an individual health care provider with primary practice located at 1000 Eddy St , Providence RI 02905-4739. 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. Elomaa, Jennifer L can be contacted via phone (401) 533-9100.

Contact Information

Primary practice address
1000 Eddy St Providence RI 02905-4739
Phone: (401) 533-9100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP00951 Rhode Island

Profile Details

NPI number 1629264569
LBN Legal business name Elomaa, Jennifer L
Credentials MSCCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Sep 24th, 2007 - about 19 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 1629264569 NPPES
Rhode Island Other 4600103 UNITED
Rhode Island Other 2058 UNITED
Rhode Island MEDICAID 9009994 UNITED
Rhode Island Other 99947 UNITED

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