Ketterling, Heather Marie
Ketterling, Heather Marie is an individual health care provider with primary practice located at 8100 Penn Ave S Ste 169 , Minneapolis MN 55431-1325. 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. Ketterling, Heather Marie can be contacted via phone (612) 216-3527.Contact Information
Primary practice address
8100 Penn Ave S Ste 169
Minneapolis MN 55431-1325
Phone: (612) 216-3527
Fax: (612) 216-2727
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 7265 | Minnesota |
Profile Details
NPI number | 1659424323 |
---|---|
LBN Legal business name | Ketterling, Heather Marie |
Credentials | MS CCC-SLP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2007 |
Last updated | Jun 21st, 2024 - about last year |
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 | 1659424323 | NPPES |
Minnesota | Other | 4600884 | MEDICA |
Minnesota | Other | 211G2KE | MEDICA |
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