Kelley, Suzanne
Kelley, Suzanne is an sole proprietor health care provider with primary practice located at 1719 Kingsbury Rd , Washington IL 61571-9278. 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. Kelley, Suzanne can be contacted via phone (309) 264-3565.Contact Information
Primary practice address
1719 Kingsbury Rd
Washington IL 61571-9278
Phone: (309) 264-3565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1460005433 | Illinois |
Profile Details
| NPI number | 1790203768 |
|---|---|
| LBN Legal business name | Kelley, Suzanne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2017 |
| Last updated | Aug 30th, 2017 - about 9 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 | 1790203768 | NPPES |
| Illinois | Other | 146005433 | IDFPR |
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