Individual
PEGGY JO FRANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-A
Contact information
Practice address
322 S. LAFAYETTE STREET, SUITE D, GREENVILLE, MI 48838
(616) 225-9892
(616) 225-9892
Mailing address
322 S. LAFAYETTE STREET, SUITE D, GREENVILLE, MI 48838
(616) 225-9892
(616) 225-9892
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
3501002249
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540D113710
BCBS HEARING AID DEALER
MI
01
—
640D113770
BCBS AUDIOLOGY GROUP
MI
01
—
640D113780
BCBS AUDIOLOGY INDIVIDUAL
MI
05
—
804675488
—
MI
05
—
903471250
—
MI
Enumeration date
10/12/2005
Last updated
09/19/2013
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