Raulerson, Jennifer L

Raulerson, Jennifer L is an individual health care provider with primary practice located at 2019 Alice St Suite B, Waycross GA 31501-6209. 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. Raulerson, Jennifer L can be contacted via phone (706) 614-2248.

Contact Information

Primary practice address
2019 Alice St Suite B Waycross GA 31501-6209
Phone: (706) 614-2248
Fax: (706) 353-1606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005585 Georgia

Profile Details

NPI number 1801063177
LBN Legal business name Raulerson, Jennifer L
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Feb 6th, 2017 - about 9 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 1801063177 NPPES
Georgia Other 52058554002 BCBS OF GA
Georgia MEDICAID 833369342A BCBS OF GA
Georgia Other 344381 BCBS OF GA
Georgia Other 10080845 BCBS OF GA

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