Graber, Gail Rust
Graber, Gail Rust is an individual health care provider with primary practice located at 1101 W Tokay St Ste 4, Lodi CA 95240-3808. 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. Graber, Gail Rust can be contacted via phone (209) 368-9222.Contact Information
Primary practice address
1101 W Tokay St Ste 4
Lodi CA 95240-3808
Phone: (209) 368-9222
Fax: (209) 368-4662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AU570 | California |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | HA1149 | California |
Profile Details
| NPI number | 1154314417 |
|---|---|
| LBN Legal business name | Graber, Gail Rust |
| Credentials | MA AUDIOLOGY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154314417 | NPPES |
| California | MEDICAID | AU0005700 |
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