Medvedik, Jody
Medvedik, Jody is an individual health care provider with primary practice located at 120 N Washington Sq Ofc 378 , Lansing MI 48933-1617. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Medvedik, Jody can be contacted via phone (888) 964-6681.Contact Information
Primary practice address
120 N Washington Sq Ofc 378
Lansing MI 48933-1617
Phone: (888) 964-6681
Fax: (888) 662-0859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | A.02414 | Ohio |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 000358 | Michigan |
Profile Details
| NPI number | 1851413462 |
|---|---|
| LBN Legal business name | Medvedik, Jody |
| Credentials | M.S.,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Nov 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851413462 | NPPES |
| Michigan | MEDICAID | 804741233 | |
| Michigan | Other | 640H224420 |
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