Lathem, Jessica L
Lathem, Jessica L is an individual health care provider with primary practice located at 2615 E Randolph Ave , Enid OK 73701-4670. 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. Lathem, Jessica L can be contacted via phone (580) 234-3734.Contact Information
Primary practice address
2615 E Randolph Ave
Enid OK 73701-4670
Phone: (580) 234-3734
Fax: (580) 234-2615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4442 | Oklahoma |
Profile Details
| NPI number | 1154706604 |
|---|---|
| LBN Legal business name | Lathem, Jessica L |
| Credentials | SLP-CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2015 |
| Last updated | Jul 20th, 2016 - about 10 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 | 1154706604 | NPPES |
| Oklahoma | MEDICAID | 200598780A |
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