Ross, Jennifer K

Ross, Jennifer K is an individual health care provider with primary practice located at 600 Harmon Loop Rd Suite 106, Dededo GU 96929-6536. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Ross, Jennifer K can be contacted via phone (671) 637-4327.

Contact Information

Primary practice address
600 Harmon Loop Rd Suite 106 Dededo GU 96929-6536
Phone: (671) 637-4327
Fax: (671) 637-7018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA 60221924 Washington
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 30-201100718-001 Guam

Profile Details

NPI number 1861588923
LBN Legal business name Ross, Jennifer K
Credentials BCHIS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 3rd, 2013 - about 12 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 1861588923 NPPES
Guam MEDICAID 164
Guam Other 2R027

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