MEDICARE: MS. JANICE SUE COMBS ACA/BCHIS

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	4103	AL

General Provider Information

NPI Number	:	1891928438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE SUE COMBS ACA/BCHIS

Provider Business Mailing Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	SUITE #610
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-880-1539
Fax Number	:	256-880-1539

Provider Business Practice Location Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	SUITE #610
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-880-1539
Fax Number	:	256-880-1539

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

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

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