Adams, Jennifer Brooke

Adams, Jennifer Brooke is an individual health care provider with primary practice located at 1609 E 80Th Ave , Merrillville IN 46410-5737. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Adams, Jennifer Brooke can be contacted via phone (219) 738-2730.

Contact Information

Primary practice address
1609 E 80Th Ave Merrillville IN 46410-5737
Fax: (219) 738-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 563-156 Wisconsin

Profile Details

NPI number 1093093650
LBN Legal business name Adams, Jennifer Brooke
Credentials AUD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Apr 14th, 2014 - about 10 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 1093093650 NPPES
Wisconsin MEDICAID 1093093650
Wisconsin Other P00972354

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