Terri Mae Qual, BC-HIS

Individual provider Active NPI Hearing Instrument Specialist · Jamestown, ND

NPI 1104189604 · NPPES record last updated Jun 19, 2012

Key facts

NPI
1104189604
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
H-0204 (ND)
Practice address
805A 10TH St SE
Jamestown, ND 58401-5730
Phone
(701) 252-0706
Fax
(701) 252-2755
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
H-0204NDMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X H-0204 ND Yes

Addresses

Primary practice location

805A 10TH St SE
Jamestown, ND 58401-5730

Mailing address

805A 10TH St SE
Jamestown, ND 58401-5730
Phone (701) 252-0706

Other providers in Jamestown, ND

All providers in Jamestown, ND · Hearing Instrument Specialist in North Dakota

Sources for this page

Verify at the official NPI Registry.