MS. REGINA JO VANDERKLOK


Address: 4598 Plainfield Ave Ne, Grand Rapids, MI 49525-1645
Phone: 6163640090

MS. REGINA JO VANDERKLOK (NPI# 1215087762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215087762
Entity Type Individual
Full Name MS. REGINA JO VANDERKLOK
Credential BC-HIS
Practice Address 4598 Plainfield Ave Ne
Grand Rapids
MI 49525-1645
Practice Telephone 6163640090
Practice Fax Number 6163647441
Mailing Telephone 6163640090
Mailing Fax Number 6163647441
Enumeration Date 2007-01-10
Last Update Date 2017-02-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 237700000X Hearing Instrument Specialist 3501002836 MI Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 4836981 05
MI BCBS 540D10522 01

Office Location

Street Address 4598 PLAINFIELD AVE NE
City GRAND RAPIDS
State MI
Zip Code 49525-1645

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1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
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Taxonomy Information

Taxonomy Code 237700000X
Grouping Speech, Language and Hearing Service Providers
Classification Hearing Instrument Specialist

Taxonomy Definition

Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033746383 Jennifer Tellefson Hearing Instrument Specialist 504 Nw 1st Ave Ste 290, Grand Rapids, MN 55744-2668 2020-03-26
1841792660 Affordable Hearing Clinic Hearing Instrument Specialist 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 2018-03-07
1841519154 Rick Edward Dymond Hearing Instrument Specialist 3665 28th St Se, Suite 6d, Grand Rapids, MI 49512-1684 2010-05-26
1821249558 Benjamin Norris Hearing Instrument Specialist 1000 3 Mile Rd Nw, Grand Rapids, MI 49544-1650 2008-09-30
1619143518 Ruhling Enterprises Inc Hearing Instrument Specialist 4598 Plainfield Ne, Grand Rapids, MI 49525 2008-05-01
1447371166 Curtis Wayne Larson Hearing Instrument Specialist 1275 S Pokegama Ave, Grand Rapids, MN 55744-4208 2007-04-02
1316004880 Tabita Jackson Hearing Instrument Specialist 224 Fulton St E, Grand Rapids, MI 49503-3211 2007-01-03
1245277839 Mcdonald Hearing Aid, Inc. Hearing Instrument Specialist 330 Fuller Ave Ne, Grand Rapids, MI 49503-3631 2006-06-01
1306849997 Therese L Wolf Hearing Instrument Specialist 734 Alger St Se, Ste 200, Grand Rapids, MI 49507-3593 2005-05-27
1639717614 Robert Barry Hearing Instrument Specialist 2090 Celebration Dr Ne, Grand Rapids, MI 49525-9200 2019-12-20
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49525

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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