Ballesteros, Elisa Ycoco
Ballesteros, Elisa Ycoco is an individual health care provider with primary practice located at 1991 E Whitehouse Canyon Rd , Green Valley AZ 85614-0522. 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. Ballesteros, Elisa Ycoco can be contacted via phone (520) 625-4581.Contact Information
Primary practice address
1991 E Whitehouse Canyon Rd
Green Valley AZ 85614-0522
Phone: (520) 625-4581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLPL5252 | Arizona |
Profile Details
| NPI number | 1285773895 |
|---|---|
| LBN Legal business name | Ballesteros, Elisa Ycoco |
| Credentials | BS SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | May 28th, 2015 - about 11 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 | 1285773895 | NPPES |
| Arizona | MEDICAID | 028399 |
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