Gannaway, Stephen Dale

Gannaway, Stephen Dale is an individual health care provider with primary practice located at 3143 W Jefferson St , Joliet IL 60435-4733. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as his primary health care specialty. Gannaway, Stephen Dale can be contacted via phone (815) 744-6898.

Contact Information

Primary practice address
3143 W Jefferson St Joliet IL 60435-4733
Fax: (815) 744-2486
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 147000243 Illinois

Profile Details

NPI number 1073615589
LBN Legal business name Gannaway, Stephen Dale
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Mar 26th, 2013 - about 11 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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