Midgarden, Jackie

Midgarden, Jackie is an individual health care provider with primary practice located at 830 W 15Th St , Grafton ND 58237-2055. 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. Midgarden, Jackie can be contacted via phone (701) 352-1739.

Contact Information

Primary practice address
830 W 15Th St Grafton ND 58237-2055
Phone: (701) 352-1739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 434 North Dakota

Profile Details

NPI number 1114050465
LBN Legal business name Midgarden, Jackie
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114050465 NPPES
North Dakota MEDICAID 58909

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