Medvedik, Jody

Medvedik, Jody is an individual health care provider with primary practice located at 120 N Washington Sq Ofc 378 , Lansing MI 48933-1617. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Medvedik, Jody can be contacted via phone (888) 964-6681.

Contact Information

Primary practice address
120 N Washington Sq Ofc 378 Lansing MI 48933-1617
Fax: (888) 662-0859
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X A.02414 Ohio
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000358 Michigan

Profile Details

NPI number 1851413462
LBN Legal business name Medvedik, Jody
Credentials M.S.,CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Nov 16th, 2022 - about 3 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 1851413462 NPPES
Michigan MEDICAID 804741233
Michigan Other 640H224420

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