Rayburn, Jenna

Rayburn, Jenna is an individual health care provider with primary practice located at 200 W Wilson Bridge Rd , Worthington OH 43085-2216. 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. Rayburn, Jenna can be contacted via phone (740) 450-6000.

Contact Information

Primary practice address
200 W Wilson Bridge Rd Worthington OH 43085-2216
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP.10069 Ohio

Profile Details

NPI number 1477819415
LBN Legal business name Rayburn, Jenna
Credentials SP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated May 11th, 2017 - about 9 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 1477819415 NPPES
Ohio Other SP.10069 SPEECH PATHOLOGY BOARD
Ohio Other 314379449 SPEECH PATHOLOGY BOARD
Ohio MEDICAID 0094740 SPEECH PATHOLOGY BOARD

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