Riley, Pamela Rae Deane

Riley, Pamela Rae Deane is an individual health care provider with primary practice located at 919 E Jefferson Blvd Ste 104 , South Bend IN 46617-3115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Riley, Pamela Rae Deane can be contacted via phone (574) 232-5815.

Contact Information

Primary practice address
919 E Jefferson Blvd Ste 104 South Bend IN 46617-3115
Phone: (574) 232-5815
Fax: (574) 289-4327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 23002137A Indiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 3501002824 Michigan

Profile Details

NPI number 1154432748
LBN Legal business name Riley, Pamela Rae Deane
Credentials AUD., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154432748 NPPES
Indiana Other 000000247031 ANTHEM PROVIDER

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