Chavez, Jennifer Lynn

Chavez, Jennifer Lynn is an individual health care provider with primary practice located at 15802 N Parkview Pl , Surprise AZ 85374-7466. 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. Chavez, Jennifer Lynn can be contacted via phone (623) 876-7000.

Contact Information

Primary practice address
15802 N Parkview Pl Surprise AZ 85374-7466
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA6328 Arizona

Profile Details

NPI number 1336462548
LBN Legal business name Chavez, Jennifer Lynn
Credentials SLPA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Mar 3rd, 2010 - about 14 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 1336462548 NPPES
Arizona MEDICAID 866000520

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