Boettcher, Joanna
Boettcher, Joanna is an individual health care provider with primary practice located at 1650 Response Rd Department 1 A Rehabilitation Services, Sacramento CA 95815-4807. 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. Boettcher, Joanna can be contacted via phone (916) 614-4010.Contact Information
Primary practice address
1650 Response Rd Department 1 A Rehabilitation Services
Sacramento CA 95815-4807
Phone: (916) 614-4010
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP 7321 | California |
Profile Details
NPI number | 1245391184 |
---|---|
LBN Legal business name | Boettcher, Joanna |
Credentials | SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Jul 13th, 2007 - 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 | 1245391184 | NPPES |
California | Other | SP 7321 | STATE LICENSE |
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