Altenbach, Kathryn Jackson

Altenbach, Kathryn Jackson is an sole proprietor health care provider with primary practice located at 13453 N Main St Ste 401 , Jacksonville FL 32218-2774. 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. Altenbach, Kathryn Jackson can be contacted via phone (904) 249-8893.

Contact Information

Primary practice address
13453 N Main St Ste 401 Jacksonville FL 32218-2774
Phone: (904) 249-8893
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1366942500
LBN Legal business name Altenbach, Kathryn Jackson
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2018
Last updated Jul 22nd, 2019 - about 6 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 1366942500 NPPES
Florida MEDICAID 747501

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