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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JENNIFER E BAUCOM, MCD CCC-SLP
603 E SUMMIT ST
DONIPHAN, MO63935-1142
 Phone: 573-996-3982
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for JENNIFER E BAUCOM · (Female)

NPI # 1003026428
Status Active
Credentials MCD CCC-SLP
Entity Individual
Enumeration date 05/23/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2002000259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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