Jacob Rockwell Giddings, HEARING SPECIALIST
Individual provider Active NPI Hearing Instrument Specialist · Spring Lake, MI
NPI 1629565429 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1629565429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 3501007851 (MI)
- Practice address
- 16875 Landing LN
Spring Lake, MI 49456-2609 - Phone
- (616) 502-0916
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501007851 | MI | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Mi LLC | Hearing Instrument Specialist | Past |
Accepting new patients |
| Ideal Practice Management Group Mi LLC | Hearing Instrument Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501007851 | MI | Yes |
Addresses
Primary practice location
16875 Landing LN
Spring Lake, MI 49456-2609
Mailing address
16875 Landing LN
Spring Lake, MI 49456-2609
Phone (616) 502-0916
Other providers in Spring Lake, MI
- Mackenzie Fricke
- John E. Garrison
- Cori J Geoghan
- Andrew Gerlach
- Norbert Paul Gerondale
- David Michael Giroux
- Gleason Chiropractic Center
- Daniel Clarence Gleason
- Graces House
- Liam O'Dea Grathoff
All providers in Spring Lake, MI · Hearing Instrument Specialist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.