Healthcare Provider Details

I. General information

NPI: 1780963272
Provider Name (Legal Business Name): MR. JAMES L VANHOOSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OAK RD SUITE 260
WALNUT CREEK CA
94597-7746
US

IV. Provider business mailing address

2800 W HIGGINS RD STE. 895
HOFFMAN ESTATES IL
60169-2071
US

V. Phone/Fax

Practice location:
  • Phone: 925-937-2535
  • Fax: 925-937-2963
Mailing address:
  • Phone: 847-843-1900
  • Fax: 847-843-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA 7455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: