Van Winkle, Jill

Van Winkle, Jill is an sole proprietor health care provider with primary practice located at 1570 Woodridge Ln , West Fargo ND 58078-4032. 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. Van Winkle, Jill can be contacted via phone (701) 281-1296.

Contact Information

Primary practice address
1570 Woodridge Ln West Fargo ND 58078-4032
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 748 North Dakota

Profile Details

NPI number 1427267186
LBN Legal business name Van Winkle, Jill
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427267186 NPPES
North Dakota MEDICAID 51710

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