Juvan, Jill Marie
Juvan, Jill Marie is an individual health care provider with primary practice located at 1492 S Mill Ave Ste 301 , Tempe AZ 85281-5676. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Juvan, Jill Marie can be contacted via phone (602) 956-1250.Contact Information
Primary practice address
1492 S Mill Ave Ste 301
Tempe AZ 85281-5676
Phone: (602) 956-1250
Fax: (623) 321-8620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA5106 | Arizona |
Profile Details
| NPI number | 1083885008 |
|---|---|
| LBN Legal business name | Juvan, Jill Marie |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2008 |
| Last updated | Aug 14th, 2020 - about 6 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 | 1083885008 | NPPES |
| Arizona | MEDICAID | 124598 |
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