Regina Jo Vanderklok in Grand Rapids - Hearing Instrument Specialist

Regina Jo Vanderklok - NPI 1215087762

Regina Jo Vanderklok is a Hearing Instrument Specialist in Grand Rapids, Michigan. Regina Jo Vanderklok practices all healthcare services and medical treatments related to Hearing Instrument Specialist. The NPI Number for Regina Jo Vanderklok is 1215087762. The last update date is 2017-02-02.

Regina Jo Vanderklok's current location address is 4598 Plainfield Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163640090 and fax number 6163647441. The mailing address for Regina Jo Vanderklok is 4598 Plainfield Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Regina Jo Vanderklok
Address 4598 Plainfield Ave Ne, Grand Rapids, Michigan
Phone Number 6163640090
Fax Number 6163647441
Sole Proprietor Y
Credentials BC-HIS

NPI Number Detail

NPI Number 1215087762
Provider Enumeration Date 2007-01-10
Last Updated Date 2017-02-02

Provider Mailing Address Detail

Address 4598 Plainfield Ave Ne
City Grand Rapids
State Michigan (MI)
Post Code 495251645
Phone Number 6163640090
Fax Number 6163647441

Provider's Primary Taxonomy Detail

Speciality Hearing Instrument Specialist
Taxonomy 237700000X
Licence No 3501002836
Definition:
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4836981 MI --
540D10522 MI BCBS

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FAQs about Regina Jo Vanderklok

What is the unique provider identifier assigned to Regina Jo Vanderklok?

The Regina Jo Vanderklok has been issued the NPI (National Provider Identifier) 1215087762 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Regina Jo Vanderklok's facilities are situated?

The facilities of Regina Jo Vanderklok are physically located at the following address: 4598 Plainfield Ave Ne, Grand Rapids, MI, 495251645.

What is Regina Jo Vanderklok's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Regina Jo Vanderklok is Hearing Instrument Specialist, and the taxonomy code that classifies this field of practice is 237700000X.

When did Regina Jo Vanderklok receive its 1215087762 assignment?

The Regina Jo Vanderklok was assigned its 1215087762 on 2007-01-10, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Regina Jo Vanderklok, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Regina Jo Vanderklok, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-02.

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