Boblett, Jennifer Jeanne

Boblett, Jennifer Jeanne is an individual health care provider with primary practice located at 1068 Lake St S Ste 108 , Forest Lake MN 55025-2633. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Boblett, Jennifer Jeanne can be contacted via phone (651) 464-8486.

Contact Information

Primary practice address
1068 Lake St S Ste 108 Forest Lake MN 55025-2633
Phone: (651) 464-8486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 10522 Minnesota

Profile Details

NPI number 1770179681
LBN Legal business name Boblett, Jennifer Jeanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2020
Last updated Dec 14th, 2021 - about 3 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 1770179681 NPPES
Minnesota MEDICAID 10522

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