Chesser, Jody Edwards

Chesser, Jody Edwards is an individual health care provider with primary practice located at 339 Racetrack Rd Nw Ste 20 , Fort Walton Beach FL 32547-1581. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Chesser, Jody Edwards can be contacted via phone (850) 863-4327.

Contact Information

Primary practice address
339 Racetrack Rd Nw Ste 20 Fort Walton Beach FL 32547-1581
Fax: (850) 243-8741
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1408 Florida

Profile Details

NPI number 1447581806
LBN Legal business name Chesser, Jody Edwards
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2010
Last updated Mar 15th, 2013 - about 11 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 1447581806 NPPES
Florida MEDICAID 001802501

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