Wigand, Jason Paul

Wigand, Jason Paul is an individual health care provider with primary practice located at 950 48Th Ave N Ste 101 , Myrtle Beach SC 29577-5434. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Wigand, Jason Paul can be contacted via phone (843) 491-9008.

Contact Information

Primary practice address
950 48Th Ave N Ste 101 Myrtle Beach SC 29577-5434
Phone: (843) 491-9008
Fax: (843) 491-9009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 4013 South Carolina
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A01894 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4013 South Carolina

Profile Details

NPI number 1205247772
LBN Legal business name Wigand, Jason Paul
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2014
Last updated Jul 6th, 2022 - about 2 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 1205247772 NPPES
South Carolina MEDICAID SA1527

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