MEDICARE: EMANUELE PASSANISI

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	HISIT 2015006763	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HISIT 2015006763	OTHER	MO	HEARING AID DISPENSER LICENSE

General Provider Information

NPI Number	:	1568847689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMANUELE PASSANISI

Provider Business Mailing Address
First Line	:	8558 EAGER RD
Second Line	:
City	:	BRENTWOOD
State	:	MO
Zip	:	63144-1435
Country	:	US
Telephone Number	:	314-918-9100
Fax Number	:	314-918-9101

Provider Business Practice Location Address
First Line	:	8558 EAGER RD
Second Line	:
City	:	BRENTWOOD
State	:	MO
Zip	:	63144-1435
Country	:	US
Telephone Number	:	314-918-9100
Fax Number	:	314-918-9101

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

Provider Enumeration Date	:	07/30/2015
Last Update Date	:	07/30/2015

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Directions to “ EMANUELE PASSANISI ” Practice Location

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