SUSAN MARIE WAITE NBC-HIS NPI 1164753950

NPI Information

  • NPI: 1164753950
  • Provider Name: SUSAN MARIE WAITE, NBC-HIS
  • Classification: Hearing Aid Equipment - 332S00000X
  • Entity Type: Individual
  • Address: 2404 WILDWOOD AVE
    JACKSON, MI
    ZIP 49202
  • Phone: (517) 788-7677

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NPI Details

Susan Marie Waite, NBC-HIS is a hearing aid equipment in Jackson, MI. The provider is the manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. Susan Marie Waite, NBC-HIS NPI is 1164753950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2404 WILDWOOD AVE
JACKSON, MI
ZIP 49202-927
Phone: (517) 788-7677
Fax: (517) 788-7679

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332S00000XHearing Aid Equipment3501002419MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1540C802820OTHERMICHIGANBLUE CROSS AND BLUE SHIELD OF MICHIGAN
2905258069MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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