Wooten, Janice Jordan
Wooten, Janice Jordan is an individual health care provider with primary practice located at 3712 Trace Dr W , Wilson NC 27893-8347. 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. Wooten, Janice Jordan can be contacted via phone (252) 291-2137.Contact Information
Primary practice address
3712 Trace Dr W
Wilson NC 27893-8347
Phone: (252) 291-2137
Fax: (252) 237-8313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6810 | North Carolina |
Profile Details
| NPI number | 1053440693 |
|---|---|
| LBN Legal business name | Wooten, Janice Jordan |
| Credentials | MS CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053440693 | NPPES |
| North Carolina | MEDICAID | 7412313 |
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