Walder, Louise Ellen
Walder, Louise Ellen is an sole proprietor health care provider with primary practice located at 1006 W Springfield Ave , Champaign IL 61821-3303. 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. Walder, Louise Ellen can be contacted via phone (217) 898-9148.Contact Information
Primary practice address
1006 W Springfield Ave
Champaign IL 61821-3303
Phone: (217) 898-9148
Fax: (855) 825-2698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146002226 | Illinois |
Profile Details
| NPI number | 1790821205 |
|---|---|
| LBN Legal business name | Walder, Louise Ellen |
| Credentials | MA CCC SLPL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jan 23rd, 2019 - about 6 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 | 1790821205 | NPPES |
| Illinois | MEDICAID | 024 | |
| Illinois | MEDICAID | 14600226 |
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