Chiles, Jennie Marie

Chiles, Jennie Marie is an individual health care provider with primary practice located at 885 S Parsons Ave , Brandon FL 33511-6063. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Chiles, Jennie Marie can be contacted via phone (813) 436-5900.

Contact Information

Primary practice address
885 S Parsons Ave Brandon FL 33511-6063
Phone: (813) 436-5900
Fax: (813) 436-5901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY 1629 Florida

Profile Details

NPI number 1134359466
LBN Legal business name Chiles, Jennie Marie
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Mar 13th, 2012 - about 12 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 1134359466 NPPES
Florida MEDICAID 002573800

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