Garcia, Jennifer Lundgren

Garcia, Jennifer Lundgren is an individual health care provider with primary practice located at 200 N Main St # N103, East Longmeadow MA 01028-2392. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Garcia, Jennifer Lundgren can be contacted via phone (413) 525-7979.

Contact Information

Primary practice address
200 N Main St # N103 East Longmeadow MA 01028-2392
Phone: (413) 525-7979
Fax: (413) 525-8303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 698 Massachusetts

Profile Details

NPI number 1255338380
LBN Legal business name Garcia, Jennifer Lundgren
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Jul 20th, 2010 - about 14 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 1255338380 NPPES
Massachusetts MEDICAID 5104076

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