Gottschalk, Kelly Aileen
Gottschalk, Kelly Aileen is an individual health care provider with primary practice located at 2225 Old Emmorton Rd Ste 210 , Bel Air MD 21015-6123. 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. Gottschalk, Kelly Aileen can be contacted via phone (410) 515-4900.Contact Information
Primary practice address
2225 Old Emmorton Rd Ste 210
Bel Air MD 21015-6123
Phone: (410) 515-4900
Fax: (410) 515-0777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 03866 | Maryland |
Profile Details
| NPI number | 1215401542 |
|---|---|
| LBN Legal business name | Gottschalk, Kelly Aileen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2019 |
| Last updated | Jan 22nd, 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 | 1215401542 | NPPES |
| Maryland | MEDICAID | 419800000 |
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