Shamblen, Lori C

Shamblen, Lori C is an individual health care provider with primary practice located at 1313 Dunbar Avenue , Dunbar WV 25064. 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. Shamblen, Lori C can be contacted via phone (304) 768-3307.

Contact Information

Primary practice address
1313 Dunbar Avenue Dunbar WV 25064
Fax: (304) 768-3620
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0626 West Virginia

Profile Details

NPI number 1174691190
LBN Legal business name Shamblen, Lori C
Credentials SPEECH LANGUAGE PATH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 18 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 1174691190 NPPES
West Virginia MEDICAID 0206427000
West Virginia MEDICAID 9400083000

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