Corning, Max Eldredge
Corning, Max Eldredge is an individual health care provider with primary practice located at 9929 E 126Th St , Fishers IN 46038-9404. 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. Corning, Max Eldredge can be contacted via phone (317) 436-8961.Contact Information
Primary practice address
9929 E 126Th St
Fishers IN 46038-9404
Phone: (317) 436-8961
Fax: (317) 991-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22006431A | Indiana |
Profile Details
| NPI number | 1598289696 |
|---|---|
| LBN Legal business name | Corning, Max Eldredge |
| Credentials | MS, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Mar 21st, 2018 - about 8 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 | 1598289696 | NPPES |
| Indiana | Other | 22006431A | STATE LICENSE |
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