Provider Demographics
NPI:1457773616
Name:MICHEL, ROBERT
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:MICHEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8606 W 13TH ST N
Mailing Address - Street 2:SUITE 160
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-6210
Mailing Address - Country:US
Mailing Address - Phone:316-721-4138
Mailing Address - Fax:316-721-4249
Practice Address - Street 1:8606 W 13TH ST N
Practice Address - Street 2:SUITE 160
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-6210
Practice Address - Country:US
Practice Address - Phone:316-721-4138
Practice Address - Fax:316-721-4249
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1552237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist