Depaul, Roxanne

Depaul, Roxanne is an sole proprietor health care provider with primary practice located at 1504 Madison Ave , Fort Atkinson WI 53538. 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. Depaul, Roxanne can be contacted via phone (920) 563-9357.

Contact Information

Primary practice address
1504 Madison Ave Fort Atkinson WI 53538
Phone: (920) 563-9357
Fax: (920) 568-6545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 43-154 Wisconsin

Profile Details

NPI number 1023216769
LBN Legal business name Depaul, Roxanne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Jul 7th, 2010 - about 16 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 1023216769 NPPES
Wisconsin MEDICAID 42720900
Wisconsin Other 43-154
Wisconsin Other 00266999

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