Larsen, Jackie
Larsen, Jackie is an individual health care provider with primary practice located at 1211 S 1530 W , Springville UT 84663-5074. 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. Larsen, Jackie can be contacted via phone (562) 841-2877.Contact Information
Primary practice address
1211 S 1530 W
Springville UT 84663-5074
Phone: (562) 841-2877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 115154024102 | Utah |
Profile Details
| NPI number | 1659050177 |
|---|---|
| LBN Legal business name | Larsen, Jackie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2023 |
| Last updated | Jul 12th, 2023 - about 2 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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