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
Phone: (303) 929-2528
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841497922 | NPPES |
Wisconsin | MEDICAID | 42797600 |
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