Peragine, Jennifer E
Peragine, Jennifer E is an sole proprietor health care provider with primary practice located at 1754 9Th St Apt D, Santa Monica CA 90404-4388. 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. Peragine, Jennifer E can be contacted via phone (310) 463-5809.Contact Information
Primary practice address
1754 9Th St Apt D
Santa Monica CA 90404-4388
Phone: (310) 463-5809
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 17626 | California |
Profile Details
| NPI number | 1407991904 |
|---|---|
| LBN Legal business name | Peragine, Jennifer E |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | May 5th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407991904 | NPPES |
| Florida | MEDICAID | 891930500 |
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