Hetelle, Jason
Hetelle, Jason is an individual health care provider with primary practice located at 901 Mulberry St , Lake Mills WI 53551-1335. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Hetelle, Jason can be contacted via phone (920) 648-8344.Contact Information
Primary practice address
901 Mulberry St
Lake Mills WI 53551-1335
Phone: (920) 648-8344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 4027-154 | Wisconsin |
Profile Details
| NPI number | 1881096873 |
|---|---|
| LBN Legal business name | Hetelle, Jason |
| Credentials | M.S., CF-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2014 |
| Last updated | Sep 22nd, 2014 - 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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