Craig, Jennifer M

Craig, Jennifer M is an individual health care provider with primary practice located at 17 Woodbridge Dr , Conway AR 72034-3613. 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. Craig, Jennifer M can be contacted via phone (501) 416-5253.

Contact Information

Primary practice address
17 Woodbridge Dr Conway AR 72034-3613
Phone: (501) 416-5253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP#2189 Arkansas

Profile Details

NPI number 1629120332
LBN Legal business name Craig, Jennifer M
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2020 - about 5 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 1629120332 NPPES
Arkansas MEDICAID 154387721
Arkansas Other 5X966

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