Schupp, Amber M
Schupp, Amber M is an individual health care provider with primary practice located at 1201 N Cummings Ln , Washington IL 61571-9267. 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. Schupp, Amber M can be contacted via phone (309) 886-2305.Contact Information
Primary practice address
1201 N Cummings Ln
Washington IL 61571-9267
Phone: (309) 886-2305
Fax: (309) 444-3893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 242001736 | Illinois |
Profile Details
| NPI number | 1144523010 |
|---|---|
| LBN Legal business name | Schupp, Amber M |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2010 |
| Last updated | Jun 12th, 2017 - about 8 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 | 1144523010 | NPPES |
| Illinois | Other | P01162441 | RR MEDICARE |
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