Jacke, Patti Jean

Jacke, Patti Jean is an sole proprietor health care provider with primary practice located at 3014 Glin Circle , Ormond Beach FL 32174. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Jacke, Patti Jean can be contacted via phone (386) 492-7333.

Contact Information

Primary practice address
3014 Glin Circle Ormond Beach FL 32174
Phone: (386) 492-7333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000212 Connecticut
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY1537 Florida
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000528-1 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 002993 Connecticut
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA9828 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 010690-1 New York

Profile Details

NPI number 1508008251
LBN Legal business name Jacke, Patti Jean
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2009
Last updated Mar 26th, 2009 - about 15 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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