Tampubolon, Madeline

Tampubolon, Madeline is an sole proprietor health care provider with primary practice located at 13192 Lambrusco Ct , Rancho Cucamonga CA 91739-9414. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Tampubolon, Madeline can be contacted via phone (909) 549-0561.

Contact Information

Primary practice address
13192 Lambrusco Ct Rancho Cucamonga CA 91739-9414
Phone: (909) 549-0561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X

Profile Details

NPI number 1205381480
LBN Legal business name Tampubolon, Madeline
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2016
Last updated Aug 17th, 2016 - 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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