Anderson, Brianna L

Anderson, Brianna L is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54937-2999. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Anderson, Brianna L can be contacted via phone (920) 907-7000.

Contact Information

Primary practice address
210 Wisconsin American Dr Fond Du Lac WI 54937-2999
Fax: (920) 907-7012
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 590-156 Wisconsin

Profile Details

NPI number 1932512522
LBN Legal business name Anderson, Brianna L
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Nov 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932512522 NPPES
Wisconsin MEDICAID 100039202

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