MEDICARE: JAMES MICHAEL RASEL

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	2101001850	VA

General Provider Information

NPI Number	:	1033759998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MICHAEL RASEL

Provider Business Mailing Address
First Line	:	730 E CHURCH ST STE 12
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-3151
Country	:	US
Telephone Number	:	540-488-5594
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 E CHURCH ST STE 12
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-3151
Country	:	US
Telephone Number	:	540-488-5594
Fax Number	:

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

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	01/08/2020

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