Fuller-Alwes, Shawnda

Fuller-Alwes, Shawnda is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fuller-Alwes, Shawnda can be contacted via phone (217) 383-4375.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 383-4375
Fax: (217) 326-2336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147000955 Illinois

Profile Details

NPI number 1528284486
LBN Legal business name Fuller-Alwes, Shawnda
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 8th, 2013 - about 12 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 1528284486 NPPES
Illinois Other 4117 HAMP PROVIDER ID
Illinois Other 7216 HAMP PROVIDER ID
Illinois Other 203 HAMP PROVIDER ID
Illinois Other 113326 HAMP PROVIDER ID

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