Wood, Rebecca Ellen
Wood, Rebecca Ellen is an sole proprietor health care provider with primary practice located at 4704 N Sheridan Rd , Peoria IL 61614-5926. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Wood, Rebecca Ellen can be contacted via phone (309) 688-4327.Contact Information
Primary practice address
4704 N Sheridan Rd
Peoria IL 61614-5926
Phone: (309) 688-4327
Fax: (309) 688-6846
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 147000280 | Illinois |
Profile Details
| NPI number | 1346556065 |
|---|---|
| LBN Legal business name | Wood, Rebecca Ellen |
| Credentials | AU.D. CCCA FAAA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2010 |
| Last updated | Aug 19th, 2010 - about 14 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 | 1346556065 | NPPES |
| Illinois | Other | 1033216395 | NPI TYPE 2 BUSINESS IDENTIFIER |
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