Jaeck, Mary Diane

Jaeck, Mary Diane is an individual health care provider with primary practice located at 26 High Pointe Ct , Tiffin OH 44883-2650. 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. Jaeck, Mary Diane can be contacted via phone (419) 447-0398.

Contact Information

Primary practice address
26 High Pointe Ct Tiffin OH 44883-2650
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP.1395 Ohio

Profile Details

NPI number 1851340772
LBN Legal business name Jaeck, Mary Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1851340772 NPPES
Ohio Other SP1395 OH LICENSE
Ohio Other 000000142710 OH LICENSE

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