Jickell, Dana
Jickell, Dana is an sole proprietor health care provider with primary practice located at 4550 Clyde Morris Blvd Ste B , Port Orange FL 32129-4080. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Jickell, Dana can be contacted via phone (386) 265-4769.Contact Information
Primary practice address
4550 Clyde Morris Blvd Ste B
Port Orange FL 32129-4080
Phone: (386) 265-4769
Fax: (386) 774-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY2012 | Florida |
Profile Details
| NPI number | 1700245727 |
|---|---|
| LBN Legal business name | Jickell, Dana |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2016 |
| Last updated | Feb 3rd, 2020 - 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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