Garnett, Mary Jane

Garnett, Mary Jane is an individual health care provider with primary practice located at 4045 Lone Tree Way Suite D, Antioch CA 94531-6200. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Garnett, Mary Jane can be contacted via phone (925) 778-3298.

Contact Information

Primary practice address
4045 Lone Tree Way Suite D Antioch CA 94531-6200
Phone: (925) 778-3298
Fax: (925) 778-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU473 California

Profile Details

NPI number 1285654764
LBN Legal business name Garnett, Mary Jane
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 26th, 2020 - about 5 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 1285654764 NPPES
California MEDICAID AU0004730

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