Boggess, Jordan
Boggess, Jordan is an individual health care provider with primary practice located at 851 Professional Park Dr , Clarksville TN 37040-5257. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Boggess, Jordan can be contacted via phone (931) 542-2168.Contact Information
Primary practice address
851 Professional Park Dr
Clarksville TN 37040-5257
Phone: (931) 542-2168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X | 614 |
Profile Details
| NPI number | 1912529850 |
|---|---|
| LBN Legal business name | Boggess, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2020 |
| Last updated | May 14th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912529850 | NPPES |
| Other | 614 | SLP-A REGISTRATION |
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