Ellenbecker, Angie Dawn
Ellenbecker, Angie Dawn is an sole proprietor health care provider with primary practice located at 1994 Gallatin Pike N Ste 309 , Madison TN 37115-2025. 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. Ellenbecker, Angie Dawn can be contacted via phone (615) 596-1830.Contact Information
Primary practice address
1994 Gallatin Pike N Ste 309
Madison TN 37115-2025
Phone: (615) 596-1830
Fax: (615) 766-8277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1179 | Nevada |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ST5779 | Tennessee |
Profile Details
| NPI number | 1457518417 |
|---|---|
| LBN Legal business name | Ellenbecker, Angie Dawn |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2008 |
| Last updated | Apr 12th, 2019 - about 7 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 | 1457518417 | NPPES |
| Nevada | MEDICAID | 1457518417 |
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