Olson, Jacqueline

Olson, Jacqueline is an individual health care provider with primary practice located at 10475 Centurion Pkwy N Suite 303, Jacksonville FL 32256-5003. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Olson, Jacqueline can be contacted via phone (904) 399-0350.

Contact Information

Primary practice address
10475 Centurion Pkwy N Suite 303 Jacksonville FL 32256-5003
Phone: (904) 399-0350
Fax: (904) 390-3502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1323 Florida

Profile Details

NPI number 1598776023
LBN Legal business name Olson, Jacqueline
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 5th, 2010 - about 16 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 1598776023 NPPES
Florida Other BB346Z MEDICARE PTAN

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