Blaisdell, Jillian Clark

Blaisdell, Jillian Clark is an individual health care provider with primary practice located at 148 W River St Ste 2A , Providence RI 02904-2615. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Blaisdell, Jillian Clark can be contacted via phone (401) 616-1719.

Contact Information

Primary practice address
148 W River St Ste 2A Providence RI 02904-2615
Phone: (401) 616-1719
Fax: (401) 727-1979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD00242 Rhode Island

Profile Details

NPI number 1881171403
LBN Legal business name Blaisdell, Jillian Clark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Mar 12th, 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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