Castaneda, Gennine

Castaneda, Gennine is an sole proprietor health care provider with primary practice located at 3401 Maple Grove Dr , Madison WI 53719-5013. She recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Castaneda, Gennine can be contacted via phone (608) 845-1000.

Contact Information

Primary practice address
3401 Maple Grove Dr Madison WI 53719-5013
Phone: (608) 845-1000
Fax: (608) 845-1001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1980 154 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1980-154 Wisconsin

Profile Details

NPI number 1306991898
LBN Legal business name Castaneda, Gennine
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Nov 5th, 2015 - about 11 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 1306991898 NPPES
Wisconsin MEDICAID 42783300

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