Kawamoto, Elissa
Kawamoto, Elissa is an individual health care provider with primary practice located at 245 E Bell Rd Ste B-23 , Phoenix AZ 85022-2353. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiology Assistant, which is considered as her primary health care specialty. Kawamoto, Elissa can be contacted via phone (480) 214-4909.Contact Information
Primary practice address
245 E Bell Rd Ste B-23
Phoenix AZ 85022-2353
Phone: (480) 214-4909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiology Assistant | 2355A2700X | DA14129 | Arizona |
Profile Details
| NPI number | 1295457844 |
|---|---|
| LBN Legal business name | Kawamoto, Elissa |
| Credentials | AU.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2022 |
| Last updated | Sep 12th, 2022 - about 3 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 | 1295457844 | NPPES |
| Other | DA14129 | AUDIOLOGY LICENSE NUMBER |
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