Ellin, Elizabeth Kenette

Ellin, Elizabeth Kenette is an individual health care provider with primary practice located at 720 N Meridian , Blackfoot ID 83221. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Ellin, Elizabeth Kenette can be contacted via phone (208) 785-5551.

Contact Information

Primary practice address
720 N Meridian Blackfoot ID 83221
Phone: (208) 785-5551
Fax: (208) 782-9580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA-182 Idaho

Profile Details

NPI number 1932272127
LBN Legal business name Ellin, Elizabeth Kenette
Credentials NBC-HIS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 3rd, 2021 - about 4 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 1932272127 NPPES
Idaho MEDICAID 00441300
Idaho MEDICAID 4414100

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