Vineyard, Alisa

Vineyard, Alisa is an individual health care provider with primary practice located at 2350 Via Caporatti Dr Suite B, Pocatello ID 83201-5095. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Vineyard, Alisa can be contacted via phone (208) 237-5322.

Contact Information

Primary practice address
2350 Via Caporatti Dr Suite B Pocatello ID 83201-5095
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X Idaho

Profile Details

NPI number 1538548839
LBN Legal business name Vineyard, Alisa
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2015
Last updated May 20th, 2015 - about 10 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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