Bubenheimer, Lori Leah

Bubenheimer, Lori Leah is an individual health care provider with primary practice located at 4203 Belfort Rd Ste 340 , Jacksonville FL 32216-1409. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bubenheimer, Lori Leah can be contacted via phone (904) 880-0911.

Contact Information

Primary practice address
4203 Belfort Rd Ste 340 Jacksonville FL 32216-1409
Phone: (904) 880-0911
Fax: (904) 880-9388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AY727 Florida

Profile Details

NPI number 1295794311
LBN Legal business name Bubenheimer, Lori Leah
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Dec 8th, 2021 - about 3 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 1295794311 NPPES
Florida MEDICAID 104898500

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