Jedlicka, Jody Ann

Jedlicka, Jody Ann is an individual health care provider with primary practice located at 1820 W Pointe Dr , Oshkosh WI 54902-4164. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Jedlicka, Jody Ann can be contacted via phone (920) 233-1800.

Contact Information

Primary practice address
1820 W Pointe Dr Oshkosh WI 54902-4164
Phone: (920) 233-1800
Fax: (920) 232-1538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 164-156 Wisconsin
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 164-156 Wisconsin

Profile Details

NPI number 1447314117
LBN Legal business name Jedlicka, Jody Ann
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 17th, 2018 - about 6 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 1447314117 NPPES
Wisconsin MEDICAID 41122200

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