Rose, Jennie Louise

Rose, Jennie Louise is an individual health care provider with primary practice located at 701 S. Main Street , Broken Arrow OK 74012. 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. Rose, Jennie Louise can be contacted via phone (918) 259-5700.

Contact Information

Primary practice address
701 S. Main Street Broken Arrow OK 74012
Phone: (918) 259-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4459 Oklahoma

Profile Details

NPI number 1093191256
LBN Legal business name Rose, Jennie Louise
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2015
Last updated Mar 19th, 2020 - about 6 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 1093191256 NPPES
Oklahoma MEDICAID 200612430

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