Cebalt, Grace Elaine

Cebalt, Grace Elaine is an individual health care provider with primary practice located at 1335 Getz Rd , Fort Wayne IN 46804-1609. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Cebalt, Grace Elaine can be contacted via phone (260) 436-6400.

Contact Information

Primary practice address
1335 Getz Rd Fort Wayne IN 46804-1609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 23002749A Indiana

Profile Details

NPI number 1275100513
LBN Legal business name Cebalt, Grace Elaine
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 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 1275100513 NPPES
Indiana MEDICAID 7657608894

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