Faulcon, Jillian
Faulcon, Jillian is an sole proprietor health care provider with primary practice located at 11710 Lynn Brook Cir , Seffner FL 33584-7203. 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. Faulcon, Jillian can be contacted via phone (813) 493-6269.Contact Information
Primary practice address
11710 Lynn Brook Cir
Seffner FL 33584-7203
Phone: (813) 493-6269
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA13967 | Florida |
Profile Details
| NPI number | 1740645233 |
|---|---|
| LBN Legal business name | Faulcon, Jillian |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2015 |
| Last updated | Jul 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740645233 | NPPES |
| Florida | MEDICAID | 1740645233 |
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