Jud, Coral M

Jud, Coral M is an sole proprietor health care provider with primary practice located at 9 N 18Th St , Fort Dodge IA 50501-4227. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Jud, Coral M can be contacted via phone (515) 573-7821.

Contact Information

Primary practice address
9 N 18Th St Fort Dodge IA 50501-4227
Phone: (515) 573-7821
Fax: (515) 573-8849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 347 Iowa
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 216 Iowa

Profile Details

NPI number 1609902139
LBN Legal business name Jud, Coral M
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Jul 9th, 2007 - about 19 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 1609902139 NPPES
Iowa MEDICAID 0935916
Iowa MEDICAID 0085456

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