Prach, Michelle

Prach, Michelle is an individual health care provider with primary practice located at 2929 Tazewell Pike , Fountain City TN 37918-1874. 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. Prach, Michelle can be contacted via phone (502) 633-1007.

Contact Information

Primary practice address
2929 Tazewell Pike Fountain City TN 37918-1874
Phone: (502) 633-1007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6170 Tennessee

Profile Details

NPI number 1467079988
LBN Legal business name Prach, Michelle
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2020
Last updated Nov 18th, 2022 - about 4 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 1467079988 NPPES
Tennessee MEDICAID Q058420

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