Wiediger, Jolee Kathleen

Wiediger, Jolee Kathleen is an individual health care provider with primary practice located at 530 E 2Nd St , Duluth MN 55805-1913. 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. Wiediger, Jolee Kathleen can be contacted via phone (218) 786-5360.

Contact Information

Primary practice address
530 E 2Nd St Duluth MN 55805-1913
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7213 Minnesota

Profile Details

NPI number 1912932575
LBN Legal business name Wiediger, Jolee Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912932575 NPPES
Other 4600608 MEDICA
MEDICAID 42804300 MEDICA

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