MEDICARE: PAJA LE DICKENSON MA CCC -A

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	231H00000X	Audiologist	1601000043	MI

General Provider Information

NPI Number	:	1932486875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAJA LE DICKENSON MA CCC -A

Provider Business Mailing Address
First Line	:	3566 CAPITAL AVE SW
Second Line	:	SUITE 100
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-7387
Country	:	US
Telephone Number	:	269-979-6455
Fax Number	:	269-979-6458

Provider Business Practice Location Address
First Line	:	3566 CAPITAL AVE SW
Second Line	:	SUITE 100
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-7387
Country	:	US
Telephone Number	:	269-979-6455
Fax Number	:	269-979-6458

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

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	11/07/2011

Similar Medicare Providers

1881648673 — WAYNE R FOLEY PT
Practice Location Address:

37200 N GANTZEL RD STE 260
QUEEN CREEK, AZ
85140-7387

Practice Phone: 480-690-8080
Practice Fax: 480-681-7111

1881072809 — JEREMY PACE DPT
Practice Location Address:

37200 N GANTZEL RD STE 260
QUEEN CREEK, AZ
85140-7387

Practice Phone: 480-690-8080
Practice Fax:

1619479284 — MIRON NEIL FERRER
Practice Location Address:

37200 N GANTZEL RD STE 260
QUEEN CREEK, AZ
85140-7387

Practice Phone: 480-690-8080
Practice Fax:

1457077547 — EVAN STEVENS
Practice Location Address:

661 CAMP CREEK RD
CHARLESTON, WV
25320-7387

Practice Phone: 681-387-8347
Practice Fax:

1447976543 — KAYLEIGH TURNER
Practice Location Address:

661 CAMP CREEK RD
CHARLESTON, WV
25320-7387

Practice Phone: 681-385-8145
Practice Fax:

1316711443 — SABRINA LEEANN STANLEY
Practice Location Address:

7387 MILL CREEK RD
QUINWOOD, WV
25981-4041

Practice Phone: 681-208-3218
Practice Fax:

Directions to “ PAJA LE DICKENSON MA CCC -A” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.