Fitzgerald, Alyssa Dale

Fitzgerald, Alyssa Dale is an individual health care provider with primary practice located at 101 W Mckinley Ave , Decatur IL 62526-3286. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Fitzgerald, Alyssa Dale can be contacted via phone (217) 876-3682.

Contact Information

Primary practice address
101 W Mckinley Ave Decatur IL 62526-3286
Phone: (217) 876-3682
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147001513 Illinois

Profile Details

NPI number 1194247239
LBN Legal business name Fitzgerald, Alyssa Dale
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated Sep 13th, 2017 - about 7 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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