Engebos, Debra L

Engebos, Debra L is an individual health care provider with primary practice located at 1501 S Madison St , Appleton WI 54915-1846. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Engebos, Debra L can be contacted via phone (920) 730-4443.

Contact Information

Primary practice address
1501 S Madison St Appleton WI 54915-1846
Phone: (920) 730-4443
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 310 Wisconsin
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 310 Wisconsin

Profile Details

NPI number 1457348112
LBN Legal business name Engebos, Debra L
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Aug 30th, 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 1457348112 NPPES
Wisconsin MEDICAID 41137000

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