Rogers, Stephanie Jackson

Rogers, Stephanie Jackson is an individual health care provider with primary practice located at 3901 Hardy St Suite 100, Hattiesburg MS 39402-1636. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Rogers, Stephanie Jackson can be contacted via phone (601) 261-5995.

Contact Information

Primary practice address
3901 Hardy St Suite 100 Hattiesburg MS 39402-1636
Fax: (601) 261-5335
Website:

Profile Details

NPI number 1730389990
LBN Legal business name Rogers, Stephanie Jackson
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Nov 30th, 2023 - about last year

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 1730389990 NPPES
Mississippi Other 512I640023 PTAN

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