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NPI Code Detail

MEDICARE: MR. STEVEN DARYL SUMINSKI BC-HIS

MEDICARE: MR. STEVEN DARYL SUMINSKI 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 SpecialistAS2614FL

General Provider Information

NPI Number : 1083862148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN DARYL SUMINSKI BC-HIS
Provider Business Mailing Address
First Line : 23 N MAIN ST STE 101A
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-6607
Country : US
Telephone Number : 843-681-6070
Fax Number : 843-681-6673
Provider Business Practice Location Address
First Line : 23 N MAIN ST STE 101A
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-6607
Country : US
Telephone Number : 843-681-6070
Fax Number : 843-681-6673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 01/09/2019

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