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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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