Buffett, Debra

Buffett, Debra is an sole proprietor health care provider with primary practice located at 5454 S Shore Dr Apt 922 , Chicago IL 60615-5995. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Assistant, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Buffett, Debra can be contacted via phone (773) 213-8495.

Contact Information

Primary practice address
5454 S Shore Dr Apt 922 Chicago IL 60615-5995
Phone: (773) 213-8495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 217000107 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1023130523
LBN Legal business name Buffett, Debra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Nov 2nd, 2020 - about 5 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 1023130523 NPPES
Illinois MEDICAID 103034

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