Bolstad, Andrea Kay

Bolstad, Andrea Kay is an sole proprietor health care provider with primary practice located at 725 Columbia Ave , De Forest WI 53532-1333. 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. Bolstad, Andrea Kay can be contacted via phone (303) 929-2528.

Contact Information

Primary practice address
725 Columbia Ave De Forest WI 53532-1333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2362-154 Wisconsin

Profile Details

NPI number 1841497922
LBN Legal business name Bolstad, Andrea Kay
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2007
Last updated Jun 11th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841497922 NPPES
Wisconsin MEDICAID 42797600

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