Jackson, Amanda Rose

Jackson, Amanda Rose is an individual health care provider with primary practice located at 5430 Boone Ave N , New Hope MN 55428-3615. 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. Jackson, Amanda Rose can be contacted via phone (763) 592-2600.

Contact Information

Primary practice address
5430 Boone Ave N New Hope MN 55428-3615
Phone: (763) 592-2600
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1093556599
LBN Legal business name Jackson, Amanda Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2024
Last updated Jun 6th, 2024 - about 2 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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