Botko, Michelle Jeanne

Botko, Michelle Jeanne is an individual health care provider with primary practice located at 1560 Beam Ave Ste 101 , Maplewood MN 55109-1191. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Botko, Michelle Jeanne can be contacted via phone (651) 777-7837.

Contact Information

Primary practice address
1560 Beam Ave Ste 101 Maplewood MN 55109-1191
Phone: (651) 777-7837
Fax: (651) 777-8754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X Minnesota
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X Minnesota
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 6249 Minnesota

Profile Details

NPI number 1558485540
LBN Legal business name Botko, Michelle Jeanne
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2007
Last updated Jan 12th, 2018 - about 7 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 1558485540 NPPES
Minnesota Other 640000549 MEDICARE

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