Sirofchuck, Jensen

Sirofchuck, Jensen is an individual health care provider with primary practice located at 2570 Technical Dr , Miamisburg OH 45342-6107. 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. Sirofchuck, Jensen can be contacted via phone (937) 847-8750.

Contact Information

Primary practice address
2570 Technical Dr Miamisburg OH 45342-6107
Phone: (937) 847-8750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 20211875-SP Ohio

Profile Details

NPI number 1164192043
LBN Legal business name Sirofchuck, Jensen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2021
Last updated Jun 9th, 2022 - about 3 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 1164192043 NPPES
Ohio MEDICAID 0452342

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