| Port Huron Ent Pc | |
|
1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 | |
| (810) 982-3277 | |
| (810) 982-0716 |
| Full Name | Port Huron Ent Pc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 1522 Pine Grove Ave, Port Huron, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396939591 | NPI | - | NPPES |
| 640G411480 | Other | MI | BCBS OF MICHIGAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Port Huron Ent Pc 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 Ph: (810) 982-3277 | Port Huron Ent Pc 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060-3382 Ph: (810) 982-3277 |
Jennifer Ann Lee, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3084 Lindsay Ln, Port Huron, MI 48060 Phone: 810-984-8278 | |
Sharon Ruth Doan, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1522 Pine Grove Ave, Suite A, Port Huron, MI 48060 Phone: 810-982-3277 Fax: 810-982-0716 | |
Natalie Jean Carlisle, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 816 Huron Ave, Port Huron, MI 48060 Phone: 810-982-7391 Fax: 810-982-9395 |