Theresa Marie Bosworth in Grand Rapids - Audiologist

Theresa Marie Bosworth - NPI 1932329729

Theresa Marie Bosworth is a Audiologist in Grand Rapids, Michigan. Theresa Marie Bosworth practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Theresa Marie Bosworth is 1932329729. The last update date is 2013-08-19.

Theresa Marie Bosworth's current location address is 1425 Michigan Ne Suite A, Grand Rapids, Michigan. You can contact this provider via phone number 6164597749 and fax number 6164595001. The mailing address for Theresa Marie Bosworth is 1425 Michigan Ne Suite A, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa Marie Bosworth
Address 1425 Michigan Ne Suite A, Grand Rapids, Michigan
Phone Number 6164597749
Fax Number 6164595001
Sole Proprietor Y
Credentials MA,CCC-A

NPI Number Detail

NPI Number 1932329729
Provider Enumeration Date 2007-04-26
Last Updated Date 2013-08-19

Provider Mailing Address Detail

Address 1425 Michigan Ne Suite A
City Grand Rapids
State Michigan (MI)
Post Code 49503
Phone Number 6164597749
Fax Number 6164595001

Provider's Primary Taxonomy Detail

Speciality Audiologist
Taxonomy 231H00000X
Licence No 1601000098
Definition:
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
640D126260 MI BLUE SHIELD HEARING PROVI

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FAQs about Theresa Marie Bosworth

What is the unique 10-digit identifier code issued to Theresa Marie Bosworth by the Centers for Medicare & Medicaid Services?

The Theresa Marie Bosworth has been assigned the NPI (National Provider Identifier) 1932329729 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Theresa Marie Bosworth?

The Theresa Marie Bosworth is situated at 1425 Michigan Ne Suite A, in the city of Grand Rapids, state of MI, with the zip code 49503.

What is the Theresa Marie Bosworth's specialty and taxonomy code?

The Theresa Marie Bosworth's specialty is Audiologist, and the corresponding taxonomy code is 231H00000X.

When did Theresa Marie Bosworth receive its 1932329729 assignment?

The Theresa Marie Bosworth was assigned its 1932329729 on 2007-04-26, which is the date when this unique identifier was issued to the organization.

When was the information regarding Theresa Marie Bosworth most recently updated?

The details pertaining to the Theresa Marie Bosworth, including its address, specialty, and other relevant information, were last refreshed on 2013-08-19.

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