Malkovich, Jennifer Shackelford

Malkovich, Jennifer Shackelford is an individual health care provider with primary practice located at 400 30Th St Suite 101, Oakland CA 94609-3306. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Malkovich, Jennifer Shackelford can be contacted via phone (510) 832-4056.

Contact Information

Primary practice address
400 30Th St Suite 101 Oakland CA 94609-3306
Phone: (510) 832-4056
Fax: (510) 832-8507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU2449 California

Profile Details

NPI number 1801018130
LBN Legal business name Malkovich, Jennifer Shackelford
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 11th, 2022 - about 3 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.

Request for update

Popular Providers