Niederkorn, Jessica
Niederkorn, Jessica is an sole proprietor health care provider with primary practice located at 4034 Roundtop Cir , Perry GA 31069-7806. 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. Niederkorn, Jessica can be contacted via phone (478) 718-0573.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005748 | Georgia |
Profile Details
| NPI number | 1366444846 |
|---|---|
| LBN Legal business name | Niederkorn, Jessica |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jun 30th, 2022 - about 2 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 | 1366444846 | NPPES |
| Georgia | MEDICAID | 639235193K |
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