Ortega, Jacqueline M

Ortega, Jacqueline M is an individual health care provider with primary practice located at 5034 S Wild Mare Rd , Tucson AZ 85757-9246. 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. Ortega, Jacqueline M can be contacted via phone (520) 883-6307.

Contact Information

Primary practice address
5034 S Wild Mare Rd Tucson AZ 85757-9246
Phone: (520) 883-6307
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL0821 Arizona

Profile Details

NPI number 1093860140
LBN Legal business name Ortega, Jacqueline M
Credentials SLP-CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jul 9th, 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 1093860140 NPPES
Arizona MEDICAID 543109

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