Matulle, Terry Vernon
Matulle, Terry Vernon is an individual health care provider with primary practice located at 20 S Main St Ste 14 , Janesville WI 53545-3959. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Matulle, Terry Vernon can be contacted via phone (608) 752-3529.Contact Information
Primary practice address
20 S Main St Ste 14
Janesville WI 53545-3959
Phone: (608) 752-3529
Fax: (608) 752-3529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 189156 | Wisconsin |
Profile Details
| NPI number | 1962697722 |
|---|---|
| LBN Legal business name | Matulle, Terry Vernon |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Sep 13th, 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 | 1962697722 | NPPES |
| Wisconsin | MEDICAID | 41110400 |
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