Wallner, Danielle Marie

Wallner, Danielle Marie is an sole proprietor health care provider with primary practice located at 77 N Fisher Park Way , Eagle ID 83616-4796. 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. Wallner, Danielle Marie can be contacted via phone (208) 378-5430.

Contact Information

Primary practice address
77 N Fisher Park Way Eagle ID 83616-4796
Phone: (208) 378-5430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1131 Idaho

Profile Details

NPI number 1225239783
LBN Legal business name Wallner, Danielle Marie
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Apr 24th, 2018 - about 7 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 1225239783 NPPES
Idaho MEDICAID 1225239783

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