Modjeski, Wendy
Modjeski, Wendy is an sole proprietor health care provider with primary practice located at 2412 Greatstone Pt , Lexington KY 40504-3274. 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. Modjeski, Wendy can be contacted via phone (859) 224-4081.Contact Information
Primary practice address
2412 Greatstone Pt
Lexington KY 40504-3274
Phone: (859) 224-4081
Fax: (859) 224-4082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 141028 | Kentucky |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 0869 | Kentucky |
Profile Details
| NPI number | 1912043472 |
|---|---|
| LBN Legal business name | Modjeski, Wendy |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 23rd, 2020 - about 4 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 | 1912043472 | NPPES |
| Kentucky | MEDICAID | 7100347120 |
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