Baltodano, Shelley Poyner
Baltodano, Shelley Poyner is an individual health care provider with primary practice located at 4838 E Baseline Rd Ste 126 , Mesa AZ 85206-4673. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Baltodano, Shelley Poyner can be contacted via phone (480) 265-8067.Contact Information
Primary practice address
4838 E Baseline Rd Ste 126
Mesa AZ 85206-4673
Phone: (480) 265-8067
Fax: (623) 806-8685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA1804 | Arizona |
Profile Details
| NPI number | 1932382785 |
|---|---|
| LBN Legal business name | Baltodano, Shelley Poyner |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2007 |
| Last updated | Feb 29th, 2024 - about 10 months 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 | 1932382785 | NPPES |
| Arizona | MEDICAID | 301835 |
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