Healthcare Provider Details

I. General information

NPI: 1508444316
Provider Name (Legal Business Name): JAMES OLIVER-ADAM RICE II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 04/01/2021
Certification Date: 04/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1303 S LINDEN RD
FLINT MI
48532-3442
US

IV. Provider business mailing address

1303 S LINDEN RD
FLINT MI
48532-3442
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-5300
  • Fax:
Mailing address:
  • Phone: 810-733-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3501012240
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: