Boles, Stacey L
Boles, Stacey L is an individual health care provider with primary practice located at 18000 River Ave , Noblesville IN 46062-8329. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Boles, Stacey L can be contacted via phone (317) 773-6579.Contact Information
Primary practice address
18000 River Ave
Noblesville IN 46062-8329
Phone: (317) 773-6579
Fax: (317) 776-4557
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 23002258A | Indiana |
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 23002258A | Indiana |
Profile Details
NPI number | 1497927461 |
---|---|
LBN Legal business name | Boles, Stacey L |
Credentials | M.S., CCC-A |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2008 |
Last updated | Feb 28th, 2018 - about 6 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 | 1497927461 | NPPES |
Indiana | Other | P01027070 | MEDICARE RR PTAN |
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