Starkenburg, Jennifer R

Starkenburg, Jennifer R is an sole proprietor health care provider with primary practice located at 820 S Skagit St , Burlington WA 98233-2418. 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. Starkenburg, Jennifer R can be contacted via phone (360) 757-3366.

Contact Information

Primary practice address
820 S Skagit St Burlington WA 98233-2418
Phone: (360) 757-3366
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL0000307 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00003074 Washington

Profile Details

NPI number 1841330982
LBN Legal business name Starkenburg, Jennifer R
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Oct 24th, 2012 - about 13 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 1841330982 NPPES
Washington Other LL00003074 WA STATE DEPT OF HEALTH
Washington MEDICAID 8400483 WA STATE DEPT OF HEALTH
Washington MEDICAID WATING FOR WA STATE DEPT OF HEALTH

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