Long, Jackie D.
Long, Jackie D. is an sole proprietor health care provider with primary practice located at 390 Ne Midway Blvd #B-101, Oak Harbor WA 98277-2642. 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. Long, Jackie D. can be contacted via phone (360) 679-4211.Contact Information
Primary practice address
390 Ne Midway Blvd #B-101
Oak Harbor WA 98277-2642
Phone: (360) 679-4211
Fax: (360) 279-2545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL00003493 | Washington |
Profile Details
| NPI number | 1821010356 |
|---|---|
| LBN Legal business name | Long, Jackie D. |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Popular Providers
-
Stewart, Melissa Ann
950 Se Regatta Dr #101, Oak Harbor WA 98277-5451 -
Roach, Sierra Linn
851 Se Pioneer Way Ste 201 , Oak Harbor WA 98277-5789 -
Flinn, Janice Ann
1500 Nw 2Nd Ave , Oak Harbor WA 98277-8932 -
Klassen, Jennifer
350 S Oak Harbor St , Oak Harbor WA 98277-5137 -
Wilcox, Dianna Lynn
600 Cherokee St , Oak Harbor WA 98277-3686 -
Burch-Wilhelm, Sara Kaye
950 Se Regatta Dr # 101 , Oak Harbor WA 98277-5451 -
Swink, Natasha Marie
330 E Crescent Harbor Rd , Oak Harbor WA 98277-9142 -
Jones, Star Sinclair
1476 Boon Hollow Ln , Oak Harbor WA 98277-8184