Puckett, Alisha
Puckett, Alisha is an individual health care provider with primary practice located at 3325 Willowcreek Rd , Portage IN 46368-5015. 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. Puckett, Alisha can be contacted via phone (219) 764-4888.Contact Information
Primary practice address
3325 Willowcreek Rd
Portage IN 46368-5015
Phone: (219) 764-4888
Fax: (219) 764-4805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22004379A | Indiana |
Profile Details
| NPI number | 1225115850 |
|---|---|
| LBN Legal business name | Puckett, Alisha |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| 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.
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