Civiello, Amy S
Civiello, Amy S is an sole proprietor health care provider with primary practice located at 200 Union Blvd Suite 421, Lakewood CO 80228-1830. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Civiello, Amy S can be contacted via phone (720) 446-2828.Contact Information
Primary practice address
200 Union Blvd Suite 421
Lakewood CO 80228-1830
Phone: (720) 446-2828
Fax: (720) 446-0941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 218 | Colorado |
Profile Details
| NPI number | 1811001969 |
|---|---|
| LBN Legal business name | Civiello, Amy S |
| Credentials | M.A.CCC-A,FAAA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | May 12th, 2016 - about 8 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 | 1811001969 | NPPES |
| Colorado | MEDICAID | 29451281 |
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