Schruck, Melissa

Schruck, Melissa is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. 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. Schruck, Melissa can be contacted via phone (309) 664-3420.

Contact Information

Primary practice address
1701 E College Ave Bloomington IL 61704-2101
Phone: (309) 664-3420
Fax: (309) 664-3422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1460008541 Illinois

Profile Details

NPI number 1407976731
LBN Legal business name Schruck, Melissa
Credentials CCC, SLP-L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407976731 NPPES
Other 113326 HEALTHLINK PROV ID
Other 4117 HEALTHLINK PROV ID
Other 7216 HEALTHLINK PROV ID
Other 203 HEALTHLINK PROV ID

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