Lovitt, Jacquelyn Clarine Jackson

Lovitt, Jacquelyn Clarine Jackson is an individual health care provider with primary practice located at 11886 Healing Way Ste 530 , Silver Spring MD 20904-7917. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Lovitt, Jacquelyn Clarine Jackson can be contacted via phone (240) 670-1200.

Contact Information

Primary practice address
11886 Healing Way Ste 530 Silver Spring MD 20904-7917
Fax: (240) 719-0534
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1023278843
LBN Legal business name Lovitt, Jacquelyn Clarine Jackson
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Dec 27th, 2021 - about 3 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 1023278843 NPPES
Maryland MEDICAID 319007200

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