Heather Kolwich Wellness LLC
Organization Active NPI Hearing and Speech Clinic/Center · Beverly Hills, MI
NPI 1437786175 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1437786175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hearing and Speech Clinic/Center 261QH0700X
- Legal business name
- HEATHER KOLWICH WELLNESS LLC
- Practice address
- 21764 Corsaut LN
Beverly Hills, MI 48025-2606 - Phone
- (248) 797-1765
- NPI assigned
- Mar 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Heather Kolwich
- Title
- Authorized Agent
- Phone
- (248) 797-1765
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200430000878 | MI | Part B Supplier - Clinic/Group Practice | 5294165411 |
Receives reassigned benefits from 1 practitioner Practice locations: Beverly Hills, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | Yes |
Addresses
Primary practice location
21764 Corsaut LN
Beverly Hills, MI 48025-2606
Mailing address
21764 Corsaut LN
Beverly Hills, MI 48025-2606
Phone (248) 797-1765
Other providers in Beverly Hills, MI
- Candace Gumma
- Mark L Hammel
- Joel Harms
- Claire Hayes
- Amy Crissman Head
- Herbert J Roth and Kalpana Shah MD PC
- Ashley Hindo
- Annette Maria Hobrecht
- Rebecca Jean Hockridge
- Lindsay Hords
All providers in Beverly Hills, MI · Hearing and Speech Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.