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:
Health care specialties
Specialty | Code | License # | 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 4 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 | 1295794311 | NPPES |
Florida | MEDICAID | 104898500 |
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