Lane, David J

Lane, David J is an sole proprietor health care provider with primary practice located at 4117 S Water Tower Pl Suite C, Mount Vernon IL 62864-6293. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Lane, David J can be contacted via phone (618) 242-0672.

Contact Information

Primary practice address
4117 S Water Tower Pl Suite C Mount Vernon IL 62864-6293
Phone: (618) 242-0672
Fax: (618) 242-0862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147-000854 Illinois

Profile Details

NPI number 1164472155
LBN Legal business name Lane, David J
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Aug 30th, 2010 - about 16 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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