Ontiveros, Basha

Ontiveros, Basha is an individual health care provider with primary practice located at 2416 E Washington St Ste C5 , Bloomington IL 61704-1629. 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. Ontiveros, Basha can be contacted via phone (913) 730-5925.

Contact Information

Primary practice address
2416 E Washington St Ste C5 Bloomington IL 61704-1629
Phone: (913) 730-5925
Fax: (202) 931-7876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146007682 Illinois

Profile Details

NPI number 1629083423
LBN Legal business name Ontiveros, Basha
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Aug 22nd, 2022 - about 3 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 1629083423 NPPES
Illinois Other 5732059 BLUE CROSS

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