Pollard, Jacie Jean

Pollard, Jacie Jean is an sole proprietor health care provider with primary practice located at 1110 Call Creek Dr Suite #7, Pocatello ID 83201-3072. 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. Pollard, Jacie Jean can be contacted via phone (208) 233-4660.

Contact Information

Primary practice address
1110 Call Creek Dr Suite #7 Pocatello ID 83201-3072
Phone: (208) 233-4660
Fax: (208) 233-4262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1749 Idaho

Profile Details

NPI number 1891959235
LBN Legal business name Pollard, Jacie Jean
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Jul 15th, 2008 - about 18 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 1891959235 NPPES
Idaho Other SLP-1749 STATE LICENSE #
Idaho Other 12130374 STATE LICENSE #

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