Sutherland, Jacqueline Rae
Sutherland, Jacqueline Rae is an sole proprietor health care provider with primary practice located at 118 E Main St , Anamosa IA 52205-1871. 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. Sutherland, Jacqueline Rae can be contacted via phone (319) 533-2916.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 001793 | Iowa |
Profile Details
| NPI number | 1770729329 |
|---|---|
| LBN Legal business name | Sutherland, Jacqueline Rae |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2009 |
| Last updated | May 19th, 2010 - about 16 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 | 1770729329 | NPPES |
| Iowa | MEDICAID | 0665950 |
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