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NPI Code Detail

MEDICARE: DONNA SUE BELCHER BC-HIS

MEDICARE:   DONNA SUE BELCHER  BC-HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist1015MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942646997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA SUE BELCHER BC-HIS
Provider Business Mailing Address
First Line : 2725 N WESTWOOD BLVD STE 3
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-2367
Country : US
Telephone Number : 573-686-6500
Fax Number : 573-686-6503
Provider Business Practice Location Address
First Line : 2725 N WESTWOOD BLVD STE 3
Second Line :
City : POPLAR BLUFF
State : MO
Zip : 63901-2367
Country : US
Telephone Number : 573-686-6500
Fax Number : 573-686-6503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2013
Last Update Date : 05/17/2013

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Directions to “ DONNA SUE BELCHER BC-HIS” Practice Location

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