Provider Demographics
NPI:1407514466
Name:RICE, SARAH JANE (HIS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:RICE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MI
Mailing Address - Zip Code:49230-9731
Mailing Address - Country:US
Mailing Address - Phone:734-945-6857
Mailing Address - Fax:
Practice Address - Street 1:1171 S MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MI
Practice Address - Zip Code:48118-1621
Practice Address - Country:US
Practice Address - Phone:734-627-7294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3502012156237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist