John, Deborah R
John, Deborah R is an individual health care provider with primary practice located at 400 E 2Nd St Centennial Hall, Bloomsburg PA 17815-1301. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. John, Deborah R can be contacted via phone (570) 389-5380.Contact Information
Primary practice address
400 E 2Nd St Centennial Hall
Bloomsburg PA 17815-1301
Phone: (570) 389-5380
Fax: (570) 389-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AT000982L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | AT000982L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Practitioner | 231HA2400X | AT000982L | Pennsylvania |
| Speech, Language and Hearing Service Providers / Assistive Technology Supplier | 231HA2500X | AT000982L | Pennsylvania |
Profile Details
| NPI number | 1114000510 |
|---|---|
| LBN Legal business name | John, Deborah R |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Oct 2nd, 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 | 1114000510 | NPPES |
| Pennsylvania | MEDICAID | 0019429170001 | |
| Pennsylvania | Other | 50009519 | |
| Pennsylvania | Other | 50218 |
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