Wallen, Jennifer Nicole

Wallen, Jennifer Nicole is an individual health care provider with primary practice located at 1722 Del Prado Blvd S Ste 2, Cape Coral FL 33990-5525. 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. Wallen, Jennifer Nicole can be contacted via phone (239) 458-7900.

Contact Information

Primary practice address
1722 Del Prado Blvd S Ste 2 Cape Coral FL 33990-5525
Phone: (239) 458-7900
Fax: (239) 458-9977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X

Profile Details

NPI number 1760872139
LBN Legal business name Wallen, Jennifer Nicole
Credentials HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2015
Last updated Jan 23rd, 2015 - about 10 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 1760872139 NPPES
Florida Other AS5065 HIS LICENSE

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