Healthcare Provider Details

I. General information

NPI: 1467496695
Provider Name (Legal Business Name): JULIE ANN SEWELL M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 ARMSTRONG ROAD VAMC - AUDIOLOGY 115A
BATTLE CREEK MI
49015-1099
US

IV. Provider business mailing address

5500 ARMSTRONG ROAD VAMC - AUDIOLOGY 115A
BATTLE CREEK MI
49015-1099
US

V. Phone/Fax

Practice location:
  • Phone: 269-966-5600
  • Fax: 269-966-5567
Mailing address:
  • Phone: 269-966-5600
  • Fax: 269-966-5567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: