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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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