Charlebois, Linda
Charlebois, Linda is an individual health care provider with primary practice located at 6301 University Commons Suite 360, South Bend IN 46635-1571. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Charlebois, Linda can be contacted via phone (574) 232-4800.Contact Information
Primary practice address
6301 University Commons Suite 360
South Bend IN 46635-1571
Phone: (574) 232-4800
Fax: (574) 288-7143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002524A | Indiana |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 23002524A | Indiana |
Profile Details
| NPI number | 1679819817 |
|---|---|
| LBN Legal business name | Charlebois, Linda |
| Credentials | MS, CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2012 |
| Last updated | Sep 9th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679819817 | NPPES |
| Indiana | MEDICAID | 201126970 | |
| Indiana | Other | 000000798626 |
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