Martin, Jennifer Farragut
Martin, Jennifer Farragut is an sole proprietor health care provider with primary practice located at 137 Beechwood Dr , Hattiesburg MS 39402-1442. 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. Martin, Jennifer Farragut can be contacted via phone (601) 466-0876.Contact Information
Primary practice address
137 Beechwood Dr
Hattiesburg MS 39402-1442
Phone: (601) 466-0876
Fax: (601) 579-0283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2463 | Mississippi |
Profile Details
| NPI number | 1063554657 |
|---|---|
| LBN Legal business name | Martin, Jennifer Farragut |
| Credentials | MSCCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | May 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063554657 | NPPES |
| Mississippi | MEDICAID | 00429208 |
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