Spellman, Tina

Spellman, Tina is an individual health care provider with primary practice located at 1550 Midway Pl , Menasha WI 54952-1165. 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. Spellman, Tina can be contacted via phone (920) 727-8140.

Contact Information

Primary practice address
1550 Midway Pl Menasha WI 54952-1165
Phone: (920) 727-8140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1943-154 Wisconsin

Profile Details

NPI number 1578779591
LBN Legal business name Spellman, Tina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 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 1578779591 NPPES
Wisconsin MEDICAID 42790700

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