Ballesteros, Elisa Ycoco

Ballesteros, Elisa Ycoco is an individual health care provider with primary practice located at 1991 E Whitehouse Canyon Rd , Green Valley AZ 85614-0522. 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. Ballesteros, Elisa Ycoco can be contacted via phone (520) 625-4581.

Contact Information

Primary practice address
1991 E Whitehouse Canyon Rd Green Valley AZ 85614-0522
Phone: (520) 625-4581
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLPL5252 Arizona

Profile Details

NPI number 1285773895
LBN Legal business name Ballesteros, Elisa Ycoco
Credentials BS SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated May 28th, 2015 - about 9 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 1285773895 NPPES
Arizona MEDICAID 028399

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