Lane, Jill Suzanne
Lane, Jill Suzanne is an sole proprietor health care provider with primary practice located at 5451 Davie Road , Davie FL 33314. 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. Lane, Jill Suzanne can be contacted via phone (954) 290-4277.Contact Information
Primary practice address
5451 Davie Road
Davie FL 33314
Phone: (954) 290-4277
Fax: (954) 584-7816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SA7798 | Florida |
Profile Details
| NPI number | 1689787624 |
|---|---|
| LBN Legal business name | Lane, Jill Suzanne |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Oct 17th, 2017 - about 7 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 | 1689787624 | NPPES |
| Florida | Other | 12024125 | ASHA |
| Florida | MEDICAID | 888544300 | ASHA |
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