Chiang, Marissa J
Chiang, Marissa J is an individual health care provider with primary practice located at 2927 S Fish Hatchery Rd , Fitchburg WI 53711-6498. 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. Chiang, Marissa J can be contacted via phone (608) 819-6394.Contact Information
Primary practice address
2927 S Fish Hatchery Rd
Fitchburg WI 53711-6498
Phone: (608) 819-6394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2859-154 | Wisconsin |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 8287 | Minnesota |
Profile Details
| NPI number | 1154404374 |
|---|---|
| LBN Legal business name | Chiang, Marissa J |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Feb 25th, 2020 - about 6 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 | 1154404374 | NPPES |
| Wisconsin | MEDICAID | 42580000 |
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