Kellogg, Hannah
Kellogg, Hannah is an sole proprietor health care provider with primary practice located at 2296 W Dixon Ln , Queen Creek AZ 85142-7282. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Kellogg, Hannah can be contacted via phone (480) 415-8539.Contact Information
Primary practice address
2296 W Dixon Ln
Queen Creek AZ 85142-7282
Phone: (480) 415-8539
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 013984 | Arizona |
Profile Details
| NPI number | 1750951257 |
|---|---|
| LBN Legal business name | Kellogg, Hannah |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2021 |
| Last updated | Jun 28th, 2021 - 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 | 1750951257 | NPPES |
| Arizona | Other | PTA-013984 | STATE BOARD OF PHYSICAL THERAPY |
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