Torres, Michaela Dockery
Torres, Michaela Dockery is an sole proprietor health care provider with primary practice located at 3901 Wrightsville Ave , Wilmington NC 28403-6255. 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. Torres, Michaela Dockery can be contacted via phone (910) 679-8385.Contact Information
Primary practice address
3901 Wrightsville Ave
Wilmington NC 28403-6255
Phone: (910) 679-8385
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5623 | North Carolina |
Profile Details
| NPI number | 1083686109 |
|---|---|
| LBN Legal business name | Torres, Michaela Dockery |
| Credentials | MA CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Aug 2nd, 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 | 1083686109 | NPPES |
| Other | 11454870 | CAQH | |
| Other | 137XY | CAQH | |
| Other | D6004 | CAQH | |
| MEDICAID | 7411780 | CAQH | |
| Other | 9344871 | CAQH |
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