Hendricks, Donna
Hendricks, Donna is an sole proprietor health care provider with primary practice located at 725 Boardman Canfield Rd E-1, Boardman OH 44512-4380. 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. Hendricks, Donna can be contacted via phone (330) 727-0702.Contact Information
Primary practice address
725 Boardman Canfield Rd E-1
Boardman OH 44512-4380
Phone: (330) 727-0702
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP2631 | Ohio |
Profile Details
| NPI number | 1538323894 |
|---|---|
| LBN Legal business name | Hendricks, Donna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Feb 21st, 2017 - about 7 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 | 1538323894 | NPPES |
| Ohio | Other | 11679653 | CAQH |
| Ohio | Other | 000000175017 | CAQH |
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