Wilson, Jeannie

Wilson, Jeannie is an individual health care provider with primary practice located at 1807 W Moline St , Malvern AR 72104-2645. 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. Wilson, Jeannie can be contacted via phone (501) 467-3166.

Contact Information

Primary practice address
1807 W Moline St Malvern AR 72104-2645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP93 Arkansas

Profile Details

NPI number 1568616035
LBN Legal business name Wilson, Jeannie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 2008 - about 17 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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