Kirschbaum, Mary Leigh

Kirschbaum, Mary Leigh is an sole proprietor health care provider with primary practice located at 410 Roedl Court Golden Living Center, Beaver Dam WI 53916. 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. Kirschbaum, Mary Leigh can be contacted via phone (920) 887-7191.

Contact Information

Primary practice address
410 Roedl Court Golden Living Center Beaver Dam WI 53916
Phone: (920) 887-7191
Fax: (920) 887-7270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 89-154 Wisconsin

Profile Details

NPI number 1487827382
LBN Legal business name Kirschbaum, Mary Leigh
Credentials M.S./CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Apr 11th, 2008 - about 18 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 1487827382 NPPES
Wisconsin MEDICAID 41220500

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