Jackson, Jill
Jackson, Jill is an individual health care provider with primary practice located at N4901 Dam Rd , Delavan WI 53115-2927. 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, Jill can be contacted via phone (262) 740-2170.Contact Information
Primary practice address
N4901 Dam Rd
Delavan WI 53115-2927
Phone: (262) 740-2170
Fax: (262) 740-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2132-154 | Wisconsin |
Profile Details
| NPI number | 1114040276 |
|---|---|
| LBN Legal business name | Jackson, Jill |
| Credentials | M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| 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.
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