Hall, Jaclan Michelle
Hall, Jaclan Michelle is an individual health care provider with primary practice located at 168 North Johnston St Suite 104, Dallas GA 30132. 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. Hall, Jaclan Michelle can be contacted via phone (770) 443-9672.Contact Information
Primary practice address
168 North Johnston St Suite 104
Dallas GA 30132
Phone: (770) 443-9672
Fax: (770) 505-3595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006005 | Georgia |
Profile Details
| NPI number | 1710049317 |
|---|---|
| LBN Legal business name | Hall, Jaclan Michelle |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710049317 | NPPES |
| Georgia | MEDICAID | 0001865050C |
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