Wetzel, Dawn Elizabeth
Wetzel, Dawn Elizabeth is an individual health care provider with primary practice located at 500 Oval Drive Heavilon Hall G34D, West Lafayette IN 47907-2038. 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. Wetzel, Dawn Elizabeth can be contacted via phone (765) 494-3816.Contact Information
Primary practice address
500 Oval Drive Heavilon Hall G34D
West Lafayette IN 47907-2038
Phone: (765) 494-3816
Fax: (765) 494-0771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22001747 | Indiana |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22001747A | Indiana |
Profile Details
| NPI number | 1295915916 |
|---|---|
| LBN Legal business name | Wetzel, Dawn Elizabeth |
| Credentials | MAT CCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Nov 17th, 2009 - about 17 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 | 1295915916 | NPPES |
| Indiana | Other | 000000553114 | ANTHEM |
| Indiana | MEDICAID | 200891420 | ANTHEM |
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