Watson, Jodi

Watson, Jodi is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. 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. Watson, Jodi can be contacted via phone (304) 348-7740.

Contact Information

Primary practice address
200 Elizabeth St Charleston WV 25311-2119
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-0711 West Virginia

Profile Details

NPI number 1508045584
LBN Legal business name Watson, Jodi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Oct 26th, 2007 - about 18 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 1508045584 NPPES
West Virginia MEDICAID 7401004000

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