Jackson, Melissa
Jackson, Melissa is an individual health care provider with primary practice located at 1304 Ronzheimer Ave , St Charles IL 60174-4450. 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, Melissa can be contacted via phone (331) 228-4873.Contact Information
Primary practice address
1304 Ronzheimer Ave
St Charles IL 60174-4450
Phone: (331) 228-4873
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146002009 | Illinois |
Profile Details
| NPI number | 1497273296 |
|---|---|
| LBN Legal business name | Jackson, Melissa |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2017 |
| Last updated | Sep 1st, 2017 - about 9 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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