Clumpner, Tina
Clumpner, Tina is an sole proprietor health care provider with primary practice located at 104 Center Ave Suite 200, Kodiak AK 99615-6393. 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. Clumpner, Tina can be contacted via phone (907) 512-0979.Contact Information
Primary practice address
104 Center Ave Suite 200
Kodiak AK 99615-6393
Phone: (907) 512-0979
Fax: (907) 512-3023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP S 270 | Alaska |
Profile Details
| NPI number | 1639312010 |
|---|---|
| LBN Legal business name | Clumpner, Tina |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Aug 18th, 2011 - about 15 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 | 1639312010 | NPPES |
| Alaska | MEDICAID | SP0004 |
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