Green, Codie Jaclyn
Green, Codie Jaclyn is an sole proprietor health care provider with primary practice located at 668 Old Salt Rd , Sumrall MS 39482-4232. 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. Green, Codie Jaclyn can be contacted via phone (601) 270-6968.Contact Information
Primary practice address
668 Old Salt Rd
Sumrall MS 39482-4232
Phone: (601) 270-6968
Fax: (601) 336-5255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S-4294 | Mississippi |
Profile Details
| NPI number | 1225769482 |
|---|---|
| LBN Legal business name | Green, Codie Jaclyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2022 |
| Last updated | Jun 20th, 2022 - about 4 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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