Wanek, Alyssa J

Wanek, Alyssa J is an individual health care provider with primary practice located at 701 W 6Th St , Grafton ND 58237-1379. 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. Wanek, Alyssa J can be contacted via phone (701) 352-2574.

Contact Information

Primary practice address
701 W 6Th St Grafton ND 58237-1379
Fax: (701) 352-0188
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1013 North Dakota

Profile Details

NPI number 1881846467
LBN Legal business name Wanek, Alyssa J
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2008
Last updated Oct 15th, 2008 - about 17 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 1881846467 NPPES
North Dakota MEDICAID 52387

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