Badertscher, Laura Poliquin

Badertscher, Laura Poliquin is an sole proprietor health care provider with primary practice located at 10817 Bloomingdale Ave , Riverview FL 33578-3616. 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. Badertscher, Laura Poliquin can be contacted via phone (813) 643-3144.

Contact Information

Primary practice address
10817 Bloomingdale Ave Riverview FL 33578-3616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA 4559 Florida

Profile Details

NPI number 1407878390
LBN Legal business name Badertscher, Laura Poliquin
Credentials CCC/SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2006
Last updated Oct 19th, 2011 - about 14 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 1407878390 NPPES
Florida MEDICAID 8840105

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