Burbank, Jade
Burbank, Jade is an sole proprietor health care provider with primary practice located at 954 E Prudhomme St , Opelousas LA 70570-8239. 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. Burbank, Jade can be contacted via phone (337) 772-9772.Contact Information
Primary practice address
954 E Prudhomme St
Opelousas LA 70570-8239
Phone: (337) 772-9772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 7651 | Louisiana |
Profile Details
| NPI number | 1992352702 |
|---|---|
| LBN Legal business name | Burbank, Jade |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2019 |
| Last updated | Aug 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992352702 | NPPES |
| Louisiana | MEDICAID | 7651 |
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