Axthelm, Nancy Ann
Axthelm, Nancy Ann is an sole proprietor health care provider with primary practice located at 808 North Street , Cody WY 82414-5213. 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. Axthelm, Nancy Ann can be contacted via phone (307) 527-7060.Contact Information
Primary practice address
808 North Street
Cody WY 82414-5213
Phone: (307) 527-7060
Fax: (307) 587-2497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP158 | Wyoming |
Profile Details
| NPI number | 1104019850 |
|---|---|
| LBN Legal business name | Axthelm, Nancy Ann |
| Credentials | CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2007 |
| Last updated | Aug 24th, 2007 - about 19 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 | 1104019850 | NPPES |
| Wyoming | MEDICAID | 1770688871 |
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