Kraucunas, Alicia
Kraucunas, Alicia is an individual health care provider with primary practice located at 1130 Collins Rd , Jefferson WI 53549-2939. 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. Kraucunas, Alicia can be contacted via phone (920) 674-6077.Contact Information
Primary practice address
1130 Collins Rd
Jefferson WI 53549-2939
Phone: (920) 674-6077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 230-154 | Wisconsin |
Profile Details
| NPI number | 1356457584 |
|---|---|
| LBN Legal business name | Kraucunas, Alicia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356457584 | NPPES |
| Wisconsin | MEDICAID | 42780100 |
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