Bordeaux, Andrew Russell

Bordeaux, Andrew Russell is an sole proprietor health care provider with primary practice located at 1624 Barton Ave , West Bend WI 53090. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Bordeaux, Andrew Russell can be contacted via phone (414) 368-0449.

Contact Information

Primary practice address
1624 Barton Ave West Bend WI 53090
Phone: (414) 368-0449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3708-154 Wisconsin

Profile Details

NPI number 1801142732
LBN Legal business name Bordeaux, Andrew Russell
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2012
Last updated Dec 20th, 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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