Mcdougal, Carol L.

Mcdougal, Carol L. is an individual health care provider with primary practice located at 230 E North Ave , Antigo WI 54409-2758. 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. Mcdougal, Carol L. can be contacted via phone (715) 623-9101.

Contact Information

Primary practice address
230 E North Ave Antigo WI 54409-2758
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 132154 Wisconsin

Profile Details

NPI number 1174796775
LBN Legal business name Mcdougal, Carol L.
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 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 1174796775 NPPES
Wisconsin MEDICAID 42654600

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