Smith, Madeline M
Smith, Madeline M is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. 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. Smith, Madeline M can be contacted via phone (414) 246-6500.Contact Information
Primary practice address
9000 W Sura Ln
Greenfield WI 53228-3477
Phone: (414) 246-6500
Fax: (414) 246-6505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5493 | Wisconsin |
Profile Details
| NPI number | 1780273326 |
|---|---|
| LBN Legal business name | Smith, Madeline M |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2021 |
| Last updated | Nov 16th, 2022 - about 4 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 | 1780273326 | NPPES |
| Wisconsin | MEDICAID | 100204537 |
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