Hatzkilson, Jennifer A
Hatzkilson, Jennifer A is an sole proprietor health care provider with primary practice located at 62 Corporate Park Suite 112, Irvine CA 92606-3122. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hatzkilson, Jennifer A can be contacted via phone (949) 250-9695.Contact Information
Primary practice address
62 Corporate Park Suite 112
Irvine CA 92606-3122
Phone: (949) 250-9695
Fax: (949) 250-9698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU1235 | California |
Profile Details
| NPI number | 1770513616 |
|---|---|
| LBN Legal business name | Hatzkilson, Jennifer A |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1770513616 | NPPES |
| California | Other | AU1235 | AUDIOLOGY STATE LICENCE |
| California | MEDICAID | AU0012350 | AUDIOLOGY STATE LICENCE |
| California | Other | HA4149 | AUDIOLOGY STATE LICENCE |
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