Glass, Jodi L

Glass, Jodi L is an sole proprietor health care provider with primary practice located at 254 4Th St , Providence RI 02906-3754. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Suppliers / Hearing Aid Equipment. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Glass, Jodi L can be contacted via phone (401) 272-4292.

Contact Information

Primary practice address
254 4Th St Providence RI 02906-3754
Phone: (401) 272-4292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD00029 Rhode Island
Suppliers / Hearing Aid Equipment 332S00000X

Profile Details

NPI number 1811922941
LBN Legal business name Glass, Jodi L
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Nov 29th, 2010 - about 15 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 1811922941 NPPES
Rhode Island Other 409826 SS BCHIP

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