Nitsche, Laura Anton Ia

Nitsche, Laura Anton Ia is an individual health care provider with primary practice located at 618 Beaser Avenue , Ashland WI 54806. 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. Nitsche, Laura Anton Ia can be contacted via phone (715) 682-2363.

Contact Information

Primary practice address
618 Beaser Avenue Ashland WI 54806
Phone: (715) 682-2363
Fax: (715) 682-7244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2415154 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 596569 Wisconsin
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7689 Wisconsin

Profile Details

NPI number 1770669269
LBN Legal business name Nitsche, Laura Anton Ia
Credentials CCC SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770669269 NPPES
Wisconsin MEDICAID 42578800

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