Fitzgerald, Jacqueline Marie
Fitzgerald, Jacqueline Marie is an individual health care provider with primary practice located at 2295 Henry Tecklenburg Dr , Charleston SC 29414-7801. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Fitzgerald, Jacqueline Marie can be contacted via phone (843) 766-7103.Contact Information
Primary practice address
2295 Henry Tecklenburg Dr
Charleston SC 29414-7801
Phone: (843) 766-7103
Fax: (843) 763-3834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 4046 | South Carolina |
Profile Details
| NPI number | 1588013981 |
|---|---|
| LBN Legal business name | Fitzgerald, Jacqueline Marie |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2016 |
| Last updated | Jan 9th, 2017 - about 7 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 | 1588013981 | NPPES |
| South Carolina | Other | 4046 | SC LICENSE |
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