Grimaldo, Janice Elaine

Grimaldo, Janice Elaine is an individual health care provider with primary practice located at 645 E 5Th St , Weiser ID 83672-2202. 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. Grimaldo, Janice Elaine can be contacted via phone (208) 549-4172.

Contact Information

Primary practice address
645 E 5Th St Weiser ID 83672-2202
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X TSLP-2366 Idaho

Profile Details

NPI number 1326475617
LBN Legal business name Grimaldo, Janice Elaine
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 13 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 1326475617 NPPES
Idaho Other TSLP-2366 IDAHO SPEECH AND HEARING SERVICES BOARD

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