Pastore, Emily C
Pastore, Emily C is an individual health care provider with primary practice located at 2070 Old Bridge Rd Ste 103 , Lake Ridge VA 22192-2495. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pastore, Emily C can be contacted via phone (703) 499-8787.Contact Information
Primary practice address
2070 Old Bridge Rd Ste 103
Lake Ridge VA 22192-2495
Phone: (703) 499-8787
Fax: (703) 499-8222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AP1909 | Maine |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 3971 | South Carolina |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 2201001383 | Virginia |
Profile Details
| NPI number | 1336399195 |
|---|---|
| LBN Legal business name | Pastore, Emily C |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2008 |
| Last updated | Oct 15th, 2023 - about 2 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 | 1336399195 | NPPES |
| Maine | Other | P00728623 | MEDICARE RAILROAD PTAN GROUP CB0866 |
| Maine | MEDICAID | 433863099 | MEDICARE RAILROAD PTAN GROUP CB0866 |
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