Susan Kristoff

Individual provider Active NPI Hearing Instrument Specialist · Columbus, TX

NPI 1245486000 · NPPES record last updated Feb 27, 2019

Key facts

NPI
1245486000
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
50149 (TX)
Practice address
1515 Fannin St Ste a
Columbus, TX 78934-2561
Phone
(979) 732-5791
Fax
(979) 732-2020
NPI assigned
Aug 13, 2008
Sex
Female
Sole proprietor
No

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
50149TXMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X TX
Hearing Instrument Specialist 237700000X 50149 TX Yes

Addresses

Primary practice location

1515 Fannin St Ste a
Columbus, TX 78934-2561

Mailing address

6700 Washington Ave S
Eden Prairie, MN 55344-3405
Phone (612) 351-1529

Other practice location 1

520 Highway 290 W
Brenham, TX 77833-5401
Phone (979) 251-7663

Other providers in Columbus, TX

All providers in Columbus, TX · Hearing Instrument Specialist in Texas

Sources for this page

Verify at the official NPI Registry.