Bascom, Anna Rachele

Bascom, Anna Rachele is an sole proprietor health care provider with primary practice located at 20329 N 59Th Ave Ste A2 , Glendale AZ 85308-6854. 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. Bascom, Anna Rachele can be contacted via phone (623) 500-2401.

Contact Information

Primary practice address
20329 N 59Th Ave Ste A2 Glendale AZ 85308-6854
Phone: (623) 500-2401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP12009 Arizona

Profile Details

NPI number 1578011086
LBN Legal business name Bascom, Anna Rachele
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2016
Last updated Dec 31st, 2019 - about 7 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 1578011086 NPPES
Arizona MEDICAID SLP12009

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