Prowell, Jarryn
Prowell, Jarryn is an sole proprietor health care provider with primary practice located at 112 Sw 8Th Ave Suite 301-3, Amarillo TX 79101-2399. 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. Prowell, Jarryn can be contacted via phone (806) 350-6793.Contact Information
Primary practice address
112 Sw 8Th Ave Suite 301-3
Amarillo TX 79101-2399
Phone: (806) 350-6793
Fax: (817) 789-6849
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 104219 | Texas |
Profile Details
| NPI number | 1730440991 |
|---|---|
| LBN Legal business name | Prowell, Jarryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Jun 5th, 2012 - about 14 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 | 1730440991 | NPPES |
| Texas | MEDICAID | 207164901 | |
| Texas | MEDICAID | 149984001 |
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