Anderson, Brooke Joanne

Anderson, Brooke Joanne is an individual health care provider with primary practice located at 900 W Clairemont Ave , Eau Claire WI 54701-6122. 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. Anderson, Brooke Joanne can be contacted via phone (715) 717-4121.

Contact Information

Primary practice address
900 W Clairemont Ave Eau Claire WI 54701-6122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6254-154 Wisconsin

Profile Details

NPI number 1629761820
LBN Legal business name Anderson, Brooke Joanne
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2023
Last updated Dec 26th, 2023 - about 3 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 1629761820 NPPES
Wisconsin MEDICAID 100245611

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