MR. MATTHEW BRANDOW AUDIOLOGIST NPI 1912068305

NPI Information

NPI: 1912068305
Provider Name: MR. MATTHEW BRANDOW, AUDIOLOGIST
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
100 MALTON ST
STE 7
NEGAUNEE, MI
ZIP 49866
Phone: (906) 475-7422
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MR. Matthew Brandow, AUDIOLOGIST is a specialist in Negaunee, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Matthew Brandow, AUDIOLOGIST NPI is 1912068305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 MALTON ST
STE 7
NEGAUNEE, MI
ZIP 49866-001
Phone: (906) 475-7422
Fax: (906) 486-6898

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/28/2008.

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
1	174400000X	Specialist		1601000055	MICHIGAN	Yes

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
1	904543700	MEDICAID	MICHIGAN
2	P00110878	OTHER	MICHIGAN	RRMEDICARE
3	540E210323	OTHER	MICHIGAN	BCBS LICENSE
4	640E210300	OTHER	MICHIGAN	BCBS LICENSE
5	0N78490	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
6	405176011	MEDICAID	MICHIGAN

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

NPI Synchronization or Removal

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