Provider Demographics
NPI:1548213127
Name:BAGGETT-STREHLAU, JEWELL MARGARET (AUD)
Entity Type:Individual
Prefix:DR
First Name:JEWELL
Middle Name:MARGARET
Last Name:BAGGETT-STREHLAU
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3050 BUSINESS PARK CIR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3548
Mailing Address - Country:US
Mailing Address - Phone:615-448-6745
Mailing Address - Fax:615-756-4483
Practice Address - Street 1:3050 BUSINESS PARK CIR
Practice Address - Street 2:SUITE 303
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3548
Practice Address - Country:US
Practice Address - Phone:615-448-6745
Practice Address - Fax:615-756-4483
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN271231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3192348Medicare PIN