Ford, Juilann Marie

Ford, Juilann Marie is an sole proprietor health care provider with primary practice located at 108 N Main St Suite 820, South Bend IN 46601-1625. 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. Ford, Juilann Marie can be contacted via phone (574) 234-7244.

Contact Information

Primary practice address
108 N Main St Suite 820 South Bend IN 46601-1625
Fax: (574) 234-9663
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 22001708A Indiana

Profile Details

NPI number 1447395447
LBN Legal business name Ford, Juilann Marie
Credentials M.A., CCCSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447395447 NPPES
Indiana Other 000000195716 BLUE CROSS BLUE SHIELD

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