Lane, Beth
Lane, Beth is an individual health care provider with primary practice located at 105 N 5Th Ave , Madill OK 73446-1203. 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. Lane, Beth can be contacted via phone (580) 795-3301.Contact Information
Primary practice address
105 N 5Th Ave
Madill OK 73446-1203
Phone: (580) 795-3301
Fax: (580) 795-7307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1030 | Oklahoma |
Profile Details
| NPI number | 1841302130 |
|---|---|
| LBN Legal business name | Lane, Beth |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841302130 | NPPES |
| Oklahoma | MEDICAID | 100641040D |
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