Gorton, Kristin Lynne

Gorton, Kristin Lynne is an individual health care provider with primary practice located at 2990 Cahill Main , Fitchburg WI 53711-7130. 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. Gorton, Kristin Lynne can be contacted via phone (608) 204-6083.

Contact Information

Primary practice address
2990 Cahill Main Fitchburg WI 53711-7130
Phone: (608) 204-6083
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1964-154 Wisconsin

Profile Details

NPI number 1043483225
LBN Legal business name Gorton, Kristin Lynne
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2008
Last updated Jan 29th, 2010 - about 15 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 1043483225 NPPES
Wisconsin MEDICAID 42776400

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