Shumaker, Jacey Zoe
Shumaker, Jacey Zoe is an sole proprietor health care provider with primary practice located at 77 Warren St Building 4, Brighton MA 02135-3601. 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. Shumaker, Jacey Zoe can be contacted via phone (617) 930-1370.Contact Information
Primary practice address
77 Warren St Building 4
Brighton MA 02135-3601
Phone: (617) 930-1370
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4737 | Massachusetts |
Profile Details
| NPI number | 1457409658 |
|---|---|
| LBN Legal business name | Shumaker, Jacey Zoe |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457409658 | NPPES |
| Massachusetts | Other | SP0118 | BCBS PROVIDER NUMBER |
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