Boczek, Deborah Renee
Boczek, Deborah Renee is an sole proprietor health care provider with primary practice located at 13 S High St , Morgantown WV 26501-7546. 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. Boczek, Deborah Renee can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
13 S High St
Morgantown WV 26501-7546
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | West Virginia |
Profile Details
| NPI number | 1104096635 |
|---|---|
| LBN Legal business name | Boczek, Deborah Renee |
| Credentials | MS,CCC/SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Mar 12th, 2008 - about 17 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 | 1104096635 | NPPES |
| West Virginia | MEDICAID | 0005071000 |
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