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1477684199

NPI Code Detail

MEDICARE: DR. JENNIFER L HARTZE AUD

MEDICARE: DR. JENNIFER L HARTZE AUD

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	237600000X	Audiologist-Hearing Aid Fitter	SLP-AU-LIC-734	MT
2	231H00000X	Audiologist	SLP-AU-LIC-734	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	29478	OTHER	MT	BCBS ALLIED PROVIDER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	734	OTHER	MT	AUDIOLOGY LIC
5	248	OTHER	MT	HEARING AID LIC

General Provider Information

NPI Number	:	1477684199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER L HARTZE AUD

Provider Business Mailing Address
First Line	:	317 S ORANGE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-1810
Country	:	US
Telephone Number	:	406-549-1951
Fax Number	:	406-542-5682

Provider Business Practice Location Address
First Line	:	317 S ORANGE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-1810
Country	:	US
Telephone Number	:	406-549-1951
Fax Number	:	406-542-5682

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	02/07/2025

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Directions to “ DR. JENNIFER L HARTZE AUD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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