Jaesan Pc in Charlotte - Speech-language Pathologist
Jaesan Pc - NPI 1003940933
Jaesan Pc is a Speech-language Pathologist in Charlotte, North Carolina. Jaesan Pc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jaesan Pc is 1003940933. The last update date is 2021-10-27.
Jaesan Pc's current location address is 3116 Milton Rd Ste F, Charlotte, North Carolina. You can contact this provider via phone number 9802376226 and fax number 9802376288. The mailing address for Jaesan Pc is 3116 Milton Rd Ste F, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jaesan Pc |
---|---|
Address | 3116 Milton Rd Ste F, Charlotte, North Carolina |
Phone Number | 9802376226 |
Fax Number | 9802376288 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO/OWNER |
---|---|
Authorized Official Name | Jerrell Ane Kai |
Credentials | M.A., CCC- |
Telephone Number | 9802376226 |
NPI Number Detail
NPI Number | 1003940933 |
---|---|
Provider Enumeration Date | 2007-03-15 |
Last Updated Date | 2021-10-27 |
Provider Mailing Address Detail
Address | 3116 Milton Rd Ste F |
---|---|
City | Charlotte |
State | North Carolina (NC) |
Post Code | 282155079 |
Phone Number | 9802376226 |
Fax Number | 9802376288 |
Provider's Primary Taxonomy Detail
Speciality | Speech-language Pathologist |
---|---|
Taxonomy | 235Z00000X |
Licence No | 5842 |
Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7411868 | NC | -- | |
7212056 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jaesan Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Jaesan Pc has been assigned the NPI (National Provider Identifier) 1003940933. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jaesan Pc's facilities are situated?
The facilities of Jaesan Pc are physically located at the following address: 3116 Milton Rd Ste F, Charlotte, NC, 282155079.
What is the area of specialization for Jaesan Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jaesan Pc is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of expertise is 235Z00000X.
On what date was the 1003940933 assigned to Jaesan Pc?
The Jaesan Pc was issued its 1003940933 on 2007-03-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jaesan Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jaesan Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-27.