Aultman, Stephanie Machelle
Aultman, Stephanie Machelle is an sole proprietor health care provider with primary practice located at 100 W Front St , Hattiesburg MS 39401-3460. 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. Aultman, Stephanie Machelle can be contacted via phone (601) 270-6968.Contact Information
Primary practice address
100 W Front St
Hattiesburg MS 39401-3460
Phone: (601) 270-6968
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S2122 | Mississippi |
Profile Details
NPI number | 1194864249 |
---|---|
LBN Legal business name | Aultman, Stephanie Machelle |
Credentials | M.S. CCC-SLP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Jul 8th, 2007 - 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 | 1194864249 | NPPES |
Mississippi | MEDICAID | 00122690 |
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