Sisson, Traci L
Sisson, Traci L is an individual health care provider with primary practice located at 90 Jackson Pike , Gallipolis OH 45631-1560. 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. Sisson, Traci L can be contacted via phone (740) 446-5121.Contact Information
Primary practice address
90 Jackson Pike
Gallipolis OH 45631-1560
Phone: (740) 446-5121
Fax: (740) 446-5816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP.5041 | Ohio |
Profile Details
| NPI number | 1851648554 |
|---|---|
| LBN Legal business name | Sisson, Traci L |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2012 |
| Last updated | Apr 24th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851648554 | NPPES |
| Ohio | MEDICAID | 0098593 | |
| Ohio | MEDICAID | 0154132000 |
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