Wise, Christa
Wise, Christa is an individual health care provider with primary practice located at 114 E Streeter Ave , Muncie IN 47303-1909. 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. Wise, Christa can be contacted via phone (765) 284-4166.Contact Information
Primary practice address
114 E Streeter Ave
Muncie IN 47303-1909
Phone: (765) 284-4166
Fax: (765) 287-9547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 22003465A | Indiana |
Profile Details
| NPI number | 1275788861 |
|---|---|
| LBN Legal business name | Wise, Christa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2008 |
| Last updated | Nov 24th, 2008 - about 18 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 | 1275788861 | NPPES |
| Indiana | Other | 22003465A | SPEECH PATHOLOGIS LICENSE |
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