Churchill, Jacklyn Penny

Churchill, Jacklyn Penny is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Churchill, Jacklyn Penny can be contacted via phone (908) 273-4300.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00112100 New Jersey
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X DA12071 Arizona

Profile Details

NPI number 1386260271
LBN Legal business name Churchill, Jacklyn Penny
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2020
Last updated Dec 11th, 2023 - about last year

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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