Wilson, Jennifer

Wilson, Jennifer is an individual health care provider with primary practice located at 808 Mill Lake Rd , Fort Wayne IN 46845-6400. 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, Jennifer can be contacted via phone (260) 338-1241.

Contact Information

Primary practice address
808 Mill Lake Rd Fort Wayne IN 46845-6400
Phone: (260) 338-1241
Fax: (260) 338-1231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 220060930 Indiana

Profile Details

NPI number 1023283090
LBN Legal business name Wilson, Jennifer
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Apr 29th, 2008 - about 16 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 1023283090 NPPES
Indiana Other 200860930 FIRST STEPS

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