Hallis, Ericka Ellen

Hallis, Ericka Ellen is an sole proprietor health care provider with primary practice located at 2300 Ramsey St Audiology/Speech(126), Fayetteville NC 28301-3856. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hallis, Ericka Ellen can be contacted via phone (910) 822-7983.

Contact Information

Primary practice address
2300 Ramsey St Audiology/Speech(126) Fayetteville NC 28301-3856
Phone: (910) 822-7983
Fax: (910) 822-7088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5647 North Carolina

Profile Details

NPI number 1154363018
LBN Legal business name Hallis, Ericka Ellen
Credentials AU.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Apr 25th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154363018 NPPES
North Carolina MEDICAID 7413098

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