Carneol, Susan O
Carneol, Susan O is an sole proprietor health care provider with primary practice located at 10303 N Port Washington Rd Ste 203 North Shore Center Llc, Mequon WI 53092-5760. 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. Carneol, Susan O can be contacted via phone (262) 241-5955.Contact Information
Primary practice address
10303 N Port Washington Rd Ste 203 North Shore Center Llc
Mequon WI 53092-5760
Phone: (262) 241-5955
Fax: (262) 241-5926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 448154 | Wisconsin |
Profile Details
| NPI number | 1831262021 |
|---|---|
| LBN Legal business name | Carneol, Susan O |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Dec 10th, 2009 - about 15 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 | 1831262021 | NPPES |
| Wisconsin | MEDICAID | 42555000 |
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