Leadbetter, Jennifer T
Leadbetter, Jennifer T is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. 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. Leadbetter, Jennifer T can be contacted via phone (701) 364-3300.Contact Information
Primary practice address
1702 University Dr S
Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1256 | North Dakota |
Profile Details
| NPI number | 1083956908 |
|---|---|
| LBN Legal business name | Leadbetter, Jennifer T |
| Credentials | CFY-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2013 |
| Last updated | Jun 20th, 2013 - about 13 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 | 1083956908 | NPPES |
| North Dakota | MEDICAID | 56197 |
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