Kassulke, Natalie C.

Kassulke, Natalie C. is an sole proprietor health care provider with primary practice located at 159 W 1St St , Oswego NY 13126-2045. 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. Kassulke, Natalie C. can be contacted via phone (315) 342-9575.

Contact Information

Primary practice address
159 W 1St St Oswego NY 13126-2045
Phone: (315) 342-9575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X LL60078936 Washington
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP007756 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 025430-1 New York

Profile Details

NPI number 1639312127
LBN Legal business name Kassulke, Natalie C.
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2009
Last updated Feb 15th, 2016 - about 9 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 1639312127 NPPES
Georgia MEDICAID 003119372A
Georgia MEDICAID 7018518

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