Gunderson, Cher Nicolle
Gunderson, Cher Nicolle is an sole proprietor health care provider with primary practice located at 1220 Stuart St , Green Bay WI 54301-4313. 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. Gunderson, Cher Nicolle can be contacted via phone (920) 362-2359.Contact Information
Primary practice address
1220 Stuart St
Green Bay WI 54301-4313
Phone: (920) 362-2359
Fax: (920) 431-0555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2358-154 | Wisconsin |
Profile Details
| NPI number | 1851531578 |
|---|---|
| LBN Legal business name | Gunderson, Cher Nicolle |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2009 |
| Last updated | Feb 21st, 2009 - about 17 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 | 1851531578 | NPPES |
| Wisconsin | MEDICAID | 42798900 |
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