Jack, Mary Jane

Jack, Mary Jane is an individual health care provider with primary practice located at 1101 Health Professions Building , Mt Pleasant MI 48859-0001. 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. Jack, Mary Jane can be contacted via phone (989) 774-7290.

Contact Information

Primary practice address
1101 Health Professions Building Mt Pleasant MI 48859-0001
Phone: (989) 774-7290
Fax: (989) 774-1891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X ASHA 01088409 Michigan

Profile Details

NPI number 1144312265
LBN Legal business name Jack, Mary Jane
Credentials MSP CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 4th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144312265 NPPES
Michigan Other 01088409 ASHA NUMBER
Michigan MEDICAID 40-4683793 ASHA NUMBER

Popular Providers