Lafferty, Jeannine Marie
Lafferty, Jeannine Marie is an individual health care provider with primary practice located at 351 E Main St , Bridgeport WV 26330-1845. 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. Lafferty, Jeannine Marie can be contacted via phone (304) 933-3073.Contact Information
Primary practice address
351 E Main St
Bridgeport WV 26330-1845
Phone: (304) 933-3073
Fax: (304) 933-3187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1831307982 |
|---|---|
| LBN Legal business name | Lafferty, Jeannine Marie |
| Credentials | MS CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Feb 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831307982 | NPPES |
| West Virginia | MEDICAID | 3810002019 |
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