Chandregowda, Adithya

Chandregowda, Adithya is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905-0001. 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. Chandregowda, Adithya can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA10850 Florida

Profile Details

NPI number 1336676741
LBN Legal business name Chandregowda, Adithya
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2017
Last updated Feb 16th, 2021 - about 5 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 1336676741 NPPES
Florida MEDICAID 104342300
Florida Other Y911W

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