Ketcham, Julia
Ketcham, Julia is an individual health care provider with primary practice located at 3320 N Clinton St , Fort Wayne IN 46805-1918. 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. Ketcham, Julia can be contacted via phone (260) 483-2100.Contact Information
Primary practice address
3320 N Clinton St
Fort Wayne IN 46805-1918
Phone: (260) 483-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22000296A | Indiana |
Profile Details
| NPI number | 1861537425 |
|---|---|
| LBN Legal business name | Ketcham, Julia |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861537425 | NPPES |
| Indiana | Other | 0000000265744 | BLUE CROSS BLUE SHIELD |
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