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Susan Marie Waite, NBC-HIS
Hearing Aid Equipment in Jackson, Michigan
NPI 1164753950

Susan Marie Waite is a Hearing Aid Equipment based in Jackson, MI. Susan Marie Waite practices in Jackson, MI and has the professional credentials of NBC-HIS. The NPI Number for Susan Marie Waite is 1164753950 and holds a License No. 3501002419 (Michigan).

The current practice location address for Susan Marie Waite is 2404 Wildwood Ave, Jackson, MI and can be reached out via phone at 517-788-7677 and via fax at 517-788-7679.

Location: 2404 Wildwood Ave, Jackson, MI, 49202-3927
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Provider Profile Details
NPI Number
1164753950
Provider Name
Susan Marie Waite
Credential
NBC-HIS
Provider Entity Type
Individual
Gender
Female
Address
2404 Wildwood Ave, Jackson, MI, 49202-3927
Phone Number
517-788-7677
Fax Number
517-788-7679
Provider Enumeration Date
01/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
540C802820 01 MI BLUE CROSS AND BLUE SHIELD OF MICHIGAN
905258069 05 MI
institution
Provider Business Practice Location Address Details
Address
2404 Wildwood Ave
City
State
Zip
49202-3927
Phone Number
517-788-7677
Fax Number
517-788-7679
person
Provider Business Mailing Address Details
Address
2404 Wildwood Ave
City
State
Zip
49202-3927
Phone Number
517-788-7677
Fax Number
517-788-7679
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Hearing Aid Equipment
Speciality
-
Taxonomy
License No.
3501002419 (Michigan)
Definition
The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis.
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