Hollister, Kimberley Sue

Hollister, Kimberley Sue is an individual health care provider with primary practice located at 27483 Dequindre Ave Suite 201, Madison Heights MI 48071-5711. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hollister, Kimberley Sue can be contacted via phone (248) 541-0100.

Contact Information

Primary practice address
27483 Dequindre Ave Suite 201 Madison Heights MI 48071-5711
Phone: (248) 541-0100
Fax: (248) 399-3960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1376507046
LBN Legal business name Hollister, Kimberley Sue
Credentials AUD,CCC/A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Nov 29th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376507046 NPPES
Michigan MEDICAID 804845416
Michigan MEDICAID 904826232

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