Reifer, Jackie Ellyn

Reifer, Jackie Ellyn is an individual health care provider with primary practice located at 43 Baxter Blvd , Portland ME 04101-1823. 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. Reifer, Jackie Ellyn can be contacted via phone (207) 874-1065.

Contact Information

Primary practice address
43 Baxter Blvd Portland ME 04101-1823
Phone: (207) 874-1065
Fax: (207) 874-1068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP530 Maine

Profile Details

NPI number 1356487235
LBN Legal business name Reifer, Jackie Ellyn
Credentials MED SLPCCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 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 1356487235 NPPES
Maine Other 002728 ANTHEM BCBS

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