Jahner, Trace

Jahner, Trace is an sole proprietor health care provider with primary practice located at 26934 N 178Th Ave , Surprise AZ 85387-1075. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jahner, Trace can be contacted via phone (623) 980-4164.

Contact Information

Primary practice address
26934 N 178Th Ave Surprise AZ 85387-1075
Phone: (623) 980-4164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP11455 Arizona

Profile Details

NPI number 1508291873
LBN Legal business name Jahner, Trace
Credentials M.S., CF-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2013
Last updated Nov 5th, 2018 - about 8 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 1508291873 NPPES
Arizona MEDICAID 841738

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