Van Kessel, Jeanette

Van Kessel, Jeanette is an individual health care provider with primary practice located at 301 Ne Franklin Ave , Bend OR 97701-4917. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Van Kessel, Jeanette can be contacted via phone (541) 389-6669.

Contact Information

Primary practice address
301 Ne Franklin Ave Bend OR 97701-4917
Fax: (541) 389-8865
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 20957 Oregon

Profile Details

NPI number 1659385482
LBN Legal business name Van Kessel, Jeanette
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 28th, 2017 - about 8 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 1659385482 NPPES
Oregon MEDICAID 038195

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