Bashaw, Elizabeth
Bashaw, Elizabeth is an sole proprietor health care provider with primary practice located at 11030 Raven Ridge Rd Ste 101 , Raleigh NC 27614-8512. 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. Bashaw, Elizabeth can be contacted via phone (191) 984-4661.Contact Information
Primary practice address
11030 Raven Ridge Rd Ste 101
Raleigh NC 27614-8512
Phone: (191) 984-4661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1912492208 |
|---|---|
| LBN Legal business name | Bashaw, Elizabeth |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2018 |
| Last updated | Oct 28th, 2020 - about 5 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 | 1912492208 | NPPES |
| North Carolina | MEDICAID | 1912492208 |
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