Busch, Isabella Rae Eccleston

Busch, Isabella Rae Eccleston is an individual health care provider with primary practice located at 51 School St , Lake Ronkonkoma NY 11779-2298. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Busch, Isabella Rae Eccleston can be contacted via phone (631) 471-1300.

Contact Information

Primary practice address
51 School St Lake Ronkonkoma NY 11779-2298
Phone: (631) 471-1300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 028942 New York

Profile Details

NPI number 1194201848
LBN Legal business name Busch, Isabella Rae Eccleston
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2018
Last updated Aug 23rd, 2022 - about 4 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.

Request for update

Popular Providers