Jacob Witte, | |
44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 | |
(313) 278-4601 | |
Not Available |
Full Name | Jacob Witte |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 44670 Ann Arbor Rd W Ste 130, Plymouth, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083229348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Dearborn Speech And Sensory Center, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033510821 PECOS PAC ID: 6901128487 Enrollment ID: O20141212000226 |
Mailing Address | Practice Location Address |
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Jacob Witte, 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 Ph: () - | Jacob Witte, 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170-4085 Ph: (313) 278-4601 |
Mikayla Treynor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Laura Nye, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4601 | |
Cassidy Mertz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44670 Ann Arbor Rd W Ste 130, Plymouth, MI 48170 Phone: 313-278-4401 | |
Jill Kristin Stiles, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 46200 Port St, Plymouth, MI 48170 Phone: 734-372-1965 | |
Angela Criteser, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14496 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 | |
Nathan Mutchnick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl, Ste 200, Plymouth, MI 48170 Phone: 734-354-8000 | |
Amelia O'connor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 229 N Sheldon Rd, Plymouth, MI 48170 Phone: 313-278-4601 |