Erickson, Audrey Lyn
Erickson, Audrey Lyn is an sole proprietor health care provider with primary practice located at 4121 Pennsylvania Ave , Dubuque IA 52002-2628. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Erickson, Audrey Lyn can be contacted via phone (563) 583-4003.Contact Information
Primary practice address
4121 Pennsylvania Ave
Dubuque IA 52002-2628
Phone: (563) 583-4003
Fax: (563) 583-4737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 002307 | Iowa |
Profile Details
| NPI number | 1013254119 |
|---|---|
| LBN Legal business name | Erickson, Audrey Lyn |
| Credentials | CFY-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Apr 28th, 2020 - about 5 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 | 1013254119 | NPPES |
| Iowa | MEDICAID | 0665950 |
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