Basalyga, Michelle Susan
Basalyga, Michelle Susan is an sole proprietor health care provider with primary practice located at 242 Noble Rd , Clarks Summit PA 18411-9406. 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. Basalyga, Michelle Susan can be contacted via phone (570) 587-5101.Contact Information
Primary practice address
242 Noble Rd
Clarks Summit PA 18411-9406
Phone: (570) 587-5101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL002711L | Pennsylvania |
Profile Details
| NPI number | 1457492050 |
|---|---|
| LBN Legal business name | Basalyga, Michelle Susan |
| Credentials | MA CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 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 | 1457492050 | NPPES |
| Pennsylvania | Other | 11226913 | CAQH ID |
| Pennsylvania | Other | SL002711L | CAQH ID |
| Pennsylvania | Other | 2601606 | CAQH ID |
| Pennsylvania | Other | 758735 | CAQH ID |
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