Swann, Alicia Broadway

Swann, Alicia Broadway is an individual health care provider with primary practice located at 541 Highway 80 W Suite C, Clinton MS 39056-4193. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Swann, Alicia Broadway can be contacted via phone (601) 488-4189.

Contact Information

Primary practice address
541 Highway 80 W Suite C Clinton MS 39056-4193
Phone: (601) 488-4189
Fax: (601) 488-4888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A0955 Mississippi

Profile Details

NPI number 1003004664
LBN Legal business name Swann, Alicia Broadway
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Oct 23rd, 2014 - about 10 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 1003004664 NPPES
Mississippi MEDICAID 00534872

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