Stockwell, Elizabeth Marie

Stockwell, Elizabeth Marie is an individual health care provider with primary practice located at 1753 Fulton St , Elkhart IN 46514-1927. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Stockwell, Elizabeth Marie can be contacted via phone (574) 293-9448.

Contact Information

Primary practice address
1753 Fulton St Elkhart IN 46514-1927
Fax: (574) 293-9480
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002858A Indiana

Profile Details

NPI number 1871332353
LBN Legal business name Stockwell, Elizabeth Marie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2024
Last updated Jul 5th, 2024 - about 2 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 1871332353 NPPES
Indiana MEDICAID 300092487

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