MEDICARE: JASON BRAUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	HAD4944	AZ

General Provider Information

NPI Number	:	1912325812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON BRAUN

Provider Business Mailing Address
First Line	:	215 SHUMAN BLVD
Second Line	:	SUITE 401
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8123
Country	:	US
Telephone Number	:	630-303-5380
Fax Number	:	978-313-6824

Provider Business Practice Location Address
First Line	:	8751 N 51ST AVE
Second Line	:	SUITE 109
City	:	GLENDALE
State	:	AZ
Zip	:	85302-4941
Country	:	US
Telephone Number	:	623-915-5568
Fax Number	:	623-915-5641

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	04/01/2014

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Directions to “ JASON BRAUN ” Practice Location

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