Elton, Jennifer Ruth

Elton, Jennifer Ruth is an sole proprietor health care provider with primary practice located at 439 Carol Ln , Shoreview MN 55126-4705. 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. Elton, Jennifer Ruth can be contacted via phone (612) 308-6132.

Contact Information

Primary practice address
439 Carol Ln Shoreview MN 55126-4705
Phone: (612) 308-6132
Fax: (651) 414-9339
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12017360 Minnesota

Profile Details

NPI number 1205892577
LBN Legal business name Elton, Jennifer Ruth
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Nov 8th, 2011 - about 13 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 1205892577 NPPES
Minnesota MEDICAID 807953600
Minnesota Other 4600414
Minnesota Other 4DY03SP
Minnesota Other HP34980

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