Glick, Jan S

Glick, Jan S is an individual health care provider with primary practice located at 514 E Woolbright Rd , Boynton Beach FL 33435-6033. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Glick, Jan S can be contacted via phone (561) 434-9944.

Contact Information

Primary practice address
514 E Woolbright Rd Boynton Beach FL 33435-6033
Phone: (561) 434-9944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000072 Michigan
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A01525 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1405 Florida

Profile Details

NPI number 1336189893
LBN Legal business name Glick, Jan S
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336189893 NPPES
Michigan MEDICAID 904547880
Michigan MEDICAID 804700455

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