Escriva, Jill Wickman

Escriva, Jill Wickman is an sole proprietor health care provider with primary practice located at 2503 Canandaigua Rd , Macedon NY 14502-8842. 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. Escriva, Jill Wickman can be contacted via phone (315) 986-5779.

Contact Information

Primary practice address
2503 Canandaigua Rd Macedon NY 14502-8842
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8709-1 New York

Profile Details

NPI number 1013173558
LBN Legal business name Escriva, Jill Wickman
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2008
Last updated Aug 4th, 2008 - about 17 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 1013173558 NPPES
New York Other 8709-1 NYS LICENSE; SPEECH PATHOLOGIST

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