Burklow, Alisa
Burklow, Alisa is an sole proprietor health care provider with primary practice located at 4106 Maid Stone Dr , Lake Charles LA 70605-4030. 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. Burklow, Alisa can be contacted via phone (337) 540-1861.Contact Information
Primary practice address
4106 Maid Stone Dr
Lake Charles LA 70605-4030
Phone: (337) 540-1861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3856484 | Louisiana |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6299 | Louisiana |
Profile Details
| NPI number | 1639481211 |
|---|---|
| LBN Legal business name | Burklow, Alisa |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2010 |
| Last updated | Oct 20th, 2023 - about last year |
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 | 1639481211 | NPPES |
| Louisiana | MEDICAID | 2116401 |
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