Liles, Jan C

Liles, Jan C is an individual health care provider with primary practice located at 8075 Madison Blvd Suite 108, Madison AL 35758-2041. She recently has only one registered license in Speech, Language and Hearing Service Providers / Assistive Technology Supplier, which is considered as her primary health care specialty. Liles, Jan C can be contacted via phone (256) 319-4327.

Contact Information

Primary practice address
8075 Madison Blvd Suite 108 Madison AL 35758-2041
Fax: (256) 461-1228
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 695A Alabama

Profile Details

NPI number 1326233032
LBN Legal business name Liles, Jan C
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Oct 3rd, 2011 - about 14 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 1326233032 NPPES
Alabama MEDICAID 009978130
Alabama Other 51506305LIL

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