Sullivan, Jill Marie
Sullivan, Jill Marie is an individual health care provider with primary practice located at 307 Canon Lane , Malvern AR 72104. 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. Sullivan, Jill Marie can be contacted via phone (501) 605-7808.Contact Information
Primary practice address
307 Canon Lane
Malvern AR 72104
Phone: (501) 605-7808
Fax: (501) 844-4434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 739 | Arkansas |
Profile Details
| NPI number | 1750330114 |
|---|---|
| LBN Legal business name | Sullivan, Jill Marie |
| Credentials | MS CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| 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 | 1750330114 | NPPES |
| Arkansas | Other | 5X415 | BCBS |
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