Soper, Ellen Ann

Soper, Ellen Ann is an individual health care provider with primary practice located at 2935 East Ave S , La Crosse WI 54601-7243. 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. Soper, Ellen Ann can be contacted via phone (608) 787-5572.

Contact Information

Primary practice address
2935 East Ave S La Crosse WI 54601-7243
Fax: (608) 787-7775
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1740-154 Wisconsin

Profile Details

NPI number 1750593968
LBN Legal business name Soper, Ellen Ann
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 9th, 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 1750593968 NPPES
Wisconsin MEDICAID 42746100

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