Niedringhaus, Jacquelyn Davis

Niedringhaus, Jacquelyn Davis is an individual health care provider with primary practice located at 1169 Ebenezer Rd , Rock Hill SC 29732-2364. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Niedringhaus, Jacquelyn Davis can be contacted via phone (803) 327-1900.

Contact Information

Primary practice address
1169 Ebenezer Rd Rock Hill SC 29732-2364
Phone: (803) 327-1900
Fax: (803) 327-4146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 457 South Carolina

Profile Details

NPI number 1376500561
LBN Legal business name Niedringhaus, Jacquelyn Davis
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Sep 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376500561 NPPES
South Carolina MEDICAID SA0017
South Carolina MEDICAID GP1087

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