Jacko, Kathleen Mary

Jacko, Kathleen Mary is an sole proprietor health care provider with primary practice located at 300 Wood Rd , Ballston Spa NY 12020-2246. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jacko, Kathleen Mary can be contacted via phone (518) 884-7290.

Contact Information

Primary practice address
300 Wood Rd Ballston Spa NY 12020-2246
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 011607 New York

Profile Details

NPI number 1972807758
LBN Legal business name Jacko, Kathleen Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2011
Last updated Jan 19th, 2012 - about 12 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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