Wigboldy, Brandon R

Wigboldy, Brandon R is an sole proprietor health care provider with primary practice located at 17207 71St Ave , Tinley Park IL 60477-3303. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Wigboldy, Brandon R can be contacted via phone (708) 362-4603.

Contact Information

Primary practice address
17207 71St Ave Tinley Park IL 60477-3303
Phone: (708) 362-4603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146011666 Illinois

Profile Details

NPI number 1285178277
LBN Legal business name Wigboldy, Brandon R
Credentials MS CCC-SLP/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2016
Last updated Dec 9th, 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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