Ponder, Jennifer
Ponder, Jennifer is an individual health care provider with primary practice located at 1305 Jennings Mill Rd Ste 170 , Watkinsville GA 30677-0037. 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. Ponder, Jennifer can be contacted via phone (706) 552-1920.Contact Information
Primary practice address
1305 Jennings Mill Rd Ste 170
Watkinsville GA 30677-0037
Phone: (706) 552-1920
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 001971 | Georgia |
Profile Details
NPI number | 1215094032 |
---|---|
LBN Legal business name | Ponder, Jennifer |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 2nd, 2007 |
Last updated | Feb 19th, 2020 - about 5 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 | 1215094032 | NPPES |
Georgia | MEDICAID | 000688168B |
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