MEDICARE: VALARIE A STREICH

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
1	237700000X	Hearing Instrument Specialist
2	237600000X	Audiologist-Hearing Aid Fitter

Other Identifiers

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

General Provider Information

NPI Number	:	1962433318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALARIE A STREICH

Provider Business Mailing Address
First Line	:	6700 WASHINGTON AVE S
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-3405
Country	:	US
Telephone Number	:	800-328-8602
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 W 10TH ST STE 1
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122
Country	:	US
Telephone Number	:	520-836-8366
Fax Number	:	520-836-2229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	12/07/2018

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Directions to “ VALARIE A STREICH ” Practice Location

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