Dutton, Jerilyn Nicole
Dutton, Jerilyn Nicole is an sole proprietor health care provider with primary practice located at 7759 Herschel Ave Ste B, La Jolla CA 92037-4478. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dutton, Jerilyn Nicole can be contacted via phone (619) 534-4865.Contact Information
Primary practice address
7759 Herschel Ave Ste B
La Jolla CA 92037-4478
Phone: (619) 534-4865
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU 2690 | California |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 574 | Colorado |
Profile Details
| NPI number | 1588897003 |
|---|---|
| LBN Legal business name | Dutton, Jerilyn Nicole |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2009 |
| Last updated | Oct 21st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588897003 | NPPES |
| Colorado | Other | 12147264 | CAQH |
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