Jansen, Garret John

Jansen, Garret John is an individual health care provider with primary practice located at 500 Jefferson St , Pella IA 50219-1255. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Jansen, Garret John can be contacted via phone (641) 628-6623.

Contact Information

Primary practice address
500 Jefferson St Pella IA 50219-1255
Fax: (641) 621-2223
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 109225 Iowa

Profile Details

NPI number 1578131694
LBN Legal business name Jansen, Garret John
Credentials SPEECH PATHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2021
Last updated Jun 23rd, 2021 - about 4 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 1578131694 NPPES
Iowa Other 109225 LICENSE

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