Glass, Kelley L
Glass, Kelley L is an sole proprietor health care provider with primary practice located at 79 Highland Ave Suite 304, Salem MA 01970-2711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Glass, Kelley L can be contacted via phone (978) 741-1284.Contact Information
Primary practice address
79 Highland Ave Suite 304
Salem MA 01970-2711
Phone: (978) 741-1284
Fax: (978) 745-0203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 511 | Massachusetts |
Profile Details
| NPI number | 1235273681 |
|---|---|
| LBN Legal business name | Glass, Kelley L |
| Credentials | AU.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Feb 16th, 2010 - about 14 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 | 1235273681 | NPPES |
| Massachusetts | MEDICAID | 5104050 | |
| Massachusetts | Other | AD0076 | |
| Massachusetts | Other | 511 |
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