Painter, Jill
Painter, Jill is an individual health care provider with primary practice located at 2315 Central Ave Ste C , Augusta GA 30904-6246. 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. Painter, Jill can be contacted via phone (706) 364-6172.Contact Information
Primary practice address
2315 Central Ave Ste C
Augusta GA 30904-6246
Phone: (706) 364-6172
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 004411 | Georgia |
Profile Details
| NPI number | 1063543478 |
|---|---|
| LBN Legal business name | Painter, Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Aug 16th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063543478 | NPPES |
| Georgia | Other | 004411 | GEORGIA LICENSE |
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