Carmody, Jaime L
Carmody, Jaime L is an sole proprietor health care provider with primary practice located at 12380 Olive Blvd , Creve Coeur MO 63141-6443. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Carmody, Jaime L can be contacted via phone (314) 729-0077.Contact Information
Primary practice address
12380 Olive Blvd
Creve Coeur MO 63141-6443
Phone: (314) 729-0077
Fax: (314) 729-0101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2006006300 | Missouri |
Profile Details
| NPI number | 1114199957 |
|---|---|
| LBN Legal business name | Carmody, Jaime L |
| Credentials | M.S.,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Feb 25th, 2019 - about 5 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 | 1114199957 | NPPES |
| Missouri | Other | 138830003 | MEDICARE PTAN |
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