Tampubolon, Madeline
Tampubolon, Madeline is an sole proprietor health care provider with primary practice located at 13192 Lambrusco Ct , Rancho Cucamonga CA 91739-9414. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Tampubolon, Madeline can be contacted via phone (909) 549-0561.Contact Information
Primary practice address
13192 Lambrusco Ct
Rancho Cucamonga CA 91739-9414
Phone: (909) 549-0561
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Assistant | 2355S0801X |
Profile Details
| NPI number | 1205381480 |
|---|---|
| LBN Legal business name | Tampubolon, Madeline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2016 |
| Last updated | Aug 17th, 2016 - 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.
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