Gantry Dotson, Anita R

Gantry Dotson, Anita R is an individual health care provider with primary practice located at 1570 N National Suite 101, Chehalis WA 98532. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Gantry Dotson, Anita R can be contacted via phone (360) 740-8992.

Contact Information

Primary practice address
1570 N National Suite 101 Chehalis WA 98532
Phone: (360) 740-8992
Fax: (360) 740-8993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD00001112 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL00001021 Washington
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA00000691 Washington

Profile Details

NPI number 1194860346
LBN Legal business name Gantry Dotson, Anita R
Credentials MS SLP A CCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 2007 - about 18 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 1194860346 NPPES
Other 0030177 L&I WORKMANS COMP
MEDICAID 7100746 L&I WORKMANS COMP
MEDICAID 7035900 L&I WORKMANS COMP
MEDICAID LL00001021 L&I WORKMANS COMP
Other HEARINGAIDS9035742 L&I WORKMANS COMP

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