Boneberg, Joan

Boneberg, Joan is an individual health care provider with primary practice located at 735 Longleaf Blvd Suite A, Lawrenceville GA 30045-8460. 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. Boneberg, Joan can be contacted via phone (770) 995-2378.

Contact Information

Primary practice address
735 Longleaf Blvd Suite A Lawrenceville GA 30045-8460
Phone: (770) 995-2378
Fax: (678) 377-9272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP004673 Georgia

Profile Details

NPI number 1801961016
LBN Legal business name Boneberg, Joan
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1801961016 NPPES
Georgia MEDICAID 00902745B

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