Cunningham, Bethany I

Cunningham, Bethany I is an individual health care provider with primary practice located at 127 Village Rd Unit B , Shallotte NC 28470-4439. 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. Cunningham, Bethany I can be contacted via phone (910) 754-3484.

Contact Information

Primary practice address
127 Village Rd Unit B Shallotte NC 28470-4439
Fax: (910) 754-3485
Website:

Health care specialties

Profile Details

NPI number 1841956554
LBN Legal business name Cunningham, Bethany I
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 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 1841956554 NPPES
North Carolina MEDICAID 7211405

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