Weasenforth, Anna Grace

Weasenforth, Anna Grace is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Weasenforth, Anna Grace can be contacted via phone (317) 944-8868.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002589A Indiana

Profile Details

NPI number 1164831848
LBN Legal business name Weasenforth, Anna Grace
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2014
Last updated Dec 22nd, 2017 - about 9 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 1164831848 NPPES
North Carolina Other 188JS BCBS
North Carolina Other Q47704A BCBS
North Carolina MEDICAID SAN121 BCBS

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