King, Jill Elaine

King, Jill Elaine is an individual health care provider with primary practice located at 558 East 2Nd Street , Powell WY 82435. 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. King, Jill Elaine can be contacted via phone (307) 754-2864.

Contact Information

Primary practice address
558 East 2Nd Street Powell WY 82435
Fax: (307) 754-9829
Website:

Health care specialties

Profile Details

NPI number 1639361991
LBN Legal business name King, Jill Elaine
Credentials MCSD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Aug 10th, 2007 - about 18 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 1639361991 NPPES
Wyoming MEDICAID 1770688871

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