Mackowiak, Ellen
Mackowiak, Ellen is an individual health care provider with primary practice located at 1560 Henthorne Dr , Maumee OH 43537-1371. 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. Mackowiak, Ellen can be contacted via phone (419) 866-5275.Contact Information
Primary practice address
1560 Henthorne Dr
Maumee OH 43537-1371
Phone: (419) 866-5275
Fax: (419) 866-5663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP8218 | Ohio |
Profile Details
| NPI number | 1124241112 |
|---|---|
| LBN Legal business name | Mackowiak, Ellen |
| Credentials | SP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 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 | 1124241112 | NPPES |
| Ohio | MEDICAID | 2526654 | |
| Ohio | Other | 1609899061 |
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