Leguizamon, Alise Evon
Leguizamon, Alise Evon is an individual health care provider with primary practice located at 204 S Adams St , Saint Croix Falls WI 54024-9449. 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. Leguizamon, Alise Evon can be contacted via phone (715) 483-3221.Contact Information
Primary practice address
204 S Adams St
Saint Croix Falls WI 54024-9449
Phone: (715) 483-3221
Fax: (715) 483-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 425-154 | Wisconsin |
Profile Details
| NPI number | 1255510434 |
|---|---|
| LBN Legal business name | Leguizamon, Alise Evon |
| Credentials | MA, CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Oct 24th, 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 | 1255510434 | NPPES |
| Wisconsin | MEDICAID | 42759000 |
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