Jeske, Olivia Tess
Jeske, Olivia Tess is an sole proprietor health care provider with primary practice located at 1133 N H St Ste I , Lompoc CA 93436-8137. 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. Jeske, Olivia Tess can be contacted via phone (805) 733-4542.Contact Information
Primary practice address
1133 N H St Ste I
Lompoc CA 93436-8137
Phone: (805) 733-4542
Fax: (805) 733-4392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP25948 | California |
Profile Details
| NPI number | 1710491659 |
|---|---|
| LBN Legal business name | Jeske, Olivia Tess |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2017 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710491659 | NPPES |
| California | MEDICAID | GSP00390 |
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