Provider Type Icon

MRS. SANDRA J PRYTULA NPI 1760570576


NPI Information

NPI: 1760570576
Provider Name: MRS. SANDRA J PRYTULA
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Individual
Address:
21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES, MI
ZIP 48081
Phone: (586) 779-7610
Get Directions

MRS. Sandra J Prytula is an audiologist hearing aid fitter in Saint Clair Shores, MI. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. MRS. Sandra J Prytula NPI is 1760570576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21000 E 12 MILE RD
SUITE 111
SAINT CLAIR SHORES, MI
ZIP 48081-116
Phone: (586) 779-7610

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237600000XAudiologist-Hearing Aid Fitter1601000065MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1640E07684OTHERMICHIGANBLUE SHIELD
20E01107OTHERBLUE SHIELD
3540E00292OTHERMICHIGANBLUE SHIELD
40M97590008MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
50E06192OTHERMICHIGANBLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.