Eversmann, Jill Grant
Eversmann, Jill Grant is an individual health care provider with primary practice located at 110 Bentwood Ln , Columbia SC 29229-8951. 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. Eversmann, Jill Grant can be contacted via phone (803) 419-5164.Contact Information
Primary practice address
110 Bentwood Ln
Columbia SC 29229-8951
Phone: (803) 419-5164
Fax: (803) 419-5164
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2244 | South Carolina |
Profile Details
| NPI number | 1144379629 |
|---|---|
| LBN Legal business name | Eversmann, Jill Grant |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144379629 | NPPES |
| South Carolina | MEDICAID | SAO627 |
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