Jansen, Garret John
Jansen, Garret John is an individual health care provider with primary practice located at 500 Jefferson St , Pella IA 50219-1255. 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. Jansen, Garret John can be contacted via phone (641) 628-6623.Contact Information
Primary practice address
500 Jefferson St
Pella IA 50219-1255
Phone: (641) 628-6623
Fax: (641) 621-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 109225 | Iowa |
Profile Details
| NPI number | 1578131694 |
|---|---|
| LBN Legal business name | Jansen, Garret John |
| Credentials | SPEECH PATHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2021 |
| Last updated | Jun 23rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578131694 | NPPES |
| Iowa | Other | 109225 | LICENSE |
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