Jackson, Madeline Ruth

Jackson, Madeline Ruth is an individual health care provider with primary practice located at 1720 University Dr S , Fargo ND 58103-4940. 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, Madeline Ruth can be contacted via phone (701) 417-4493.

Contact Information

Primary practice address
1720 University Dr S Fargo ND 58103-4940
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1603 North Dakota

Profile Details

NPI number 1124547047
LBN Legal business name Jackson, Madeline Ruth
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2017
Last updated Jul 21st, 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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