Rubenacker, Lori

Rubenacker, Lori is an individual health care provider with primary practice located at 1099 N Van St , Olney IL 62450-3016. 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. Rubenacker, Lori can be contacted via phone (618) 395-4372.

Contact Information

Primary practice address
1099 N Van St Olney IL 62450-3016
Phone: (618) 395-4372
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146005996 Illinois

Profile Details

NPI number 1487162871
LBN Legal business name Rubenacker, Lori
Credentials MS-CCC/SLP-L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2018
Last updated Jan 19th, 2018 - about 8 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 1487162871 NPPES
Illinois MEDICAID 1528174067

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