Cosola, Jennette Marie

Cosola, Jennette Marie is an individual health care provider with primary practice located at 401 South Queen Street , Martinsburg WV 25401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Cosola, Jennette Marie can be contacted via phone (304) 267-3500.

Contact Information

Primary practice address
401 South Queen Street Martinsburg WV 25401
Fax: (304) 267-3599
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 324 West Virginia

Profile Details

NPI number 1174700017
LBN Legal business name Cosola, Jennette Marie
Credentials CCCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2008
Last updated Jan 23rd, 2008 - about 18 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 1174700017 NPPES
West Virginia MEDICAID 0154440600

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