Fornshell, Katelyn Rose

Fornshell, Katelyn Rose is an individual health care provider with primary practice located at 2000 5Th Ave Sw , Minot ND 58701-3510. 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. Fornshell, Katelyn Rose can be contacted via phone (701) 857-4400.

Contact Information

Primary practice address
2000 5Th Ave Sw Minot ND 58701-3510
Phone: (701) 857-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1582 North Dakota

Profile Details

NPI number 1124539291
LBN Legal business name Fornshell, Katelyn Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2017
Last updated Oct 17th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124539291 NPPES
North Dakota MEDICAID 000000000

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