Manning, Jantina Anna

Manning, Jantina Anna is an individual health care provider with primary practice located at 130 Highway 20 South , Thermopolis WY 82443. 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. Manning, Jantina Anna can be contacted via phone (307) 864-9227.

Contact Information

Primary practice address
130 Highway 20 South Thermopolis WY 82443
Fax: (307) 864-2296
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP510 Wyoming

Profile Details

NPI number 1467600783
LBN Legal business name Manning, Jantina Anna
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated Aug 28th, 2008 - about 17 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 1467600783 NPPES
Wyoming MEDICAID 1770688871

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