Whitaker, Jennie L

Whitaker, Jennie L is an sole proprietor health care provider with primary practice located at 968 Bayou Trace Dr , Alexandria LA 71303-2554. 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. Whitaker, Jennie L can be contacted via phone (318) 308-4752.

Contact Information

Primary practice address
968 Bayou Trace Dr Alexandria LA 71303-2554
Phone: (318) 308-4752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1644 Louisiana

Profile Details

NPI number 1962636506
LBN Legal business name Whitaker, Jennie L
Credentials M.A. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2009
Last updated May 12th, 2009 - about 17 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 1962636506 NPPES
Louisiana Other JWHITAKER49 BLUE CROSS/ BLUE SHIELD
Louisiana MEDICAID JWHITAKER49 BLUE CROSS/ BLUE SHIELD

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