Ebensperger, Vicky J

Ebensperger, Vicky J is an individual health care provider with primary practice located at 808 Main St E , Menomonie WI 54751-2735. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Other Service Providers / Case Manager/Care Coordinator. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Ebensperger, Vicky J can be contacted via phone (715) 232-1116.

Contact Information

Primary practice address
808 Main St E Menomonie WI 54751-2735
Phone: (715) 232-1116
Fax: (715) 232-5987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1325154 Wisconsin
Other Service Providers / Case Manager/Care Coordinator 171M00000X 1325-154 Wisconsin

Profile Details

NPI number 1205881927
LBN Legal business name Ebensperger, Vicky J
Credentials CCC MST SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 16th, 2008 - about 16 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 1205881927 NPPES
Wisconsin MEDICAID 42750600
Wisconsin MEDICAID 43071900

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