Nowak, Jennifer B.

Nowak, Jennifer B. is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Nowak, Jennifer B. can be contacted via phone (573) 686-4151.

Contact Information

Primary practice address
1500 N Westwood Blvd Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA2618 Florida
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2006011487 Missouri

Profile Details

NPI number 1235230582
LBN Legal business name Nowak, Jennifer B.
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jul 21st, 2022 - 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 1235230582 NPPES
Missouri MEDICAID 466291507
Missouri MEDICAID 882188700

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