Carbon-Ellington, Cassie Rose

Carbon-Ellington, Cassie Rose is an individual health care provider with primary practice located at 10150 W. National Avenue Suite 150, Milwaukee WI 53227-5555. 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. Carbon-Ellington, Cassie Rose can be contacted via phone (800) 439-7012.

Contact Information

Primary practice address
10150 W. National Avenue Suite 150 Milwaukee WI 53227-5555
Phone: (800) 439-7012
Fax: (888) 873-3992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2573-154 Wisconsin

Profile Details

NPI number 1417181314
LBN Legal business name Carbon-Ellington, Cassie Rose
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2009
Last updated Aug 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417181314 NPPES
Wisconsin MEDICAID 1417181314

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