MEDICARE: JOSHUA WHICKER AUD

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	332S00000X	Hearing Aid Equipment
2	231H00000X	Audiologist

General Provider Information

NPI Number	:	1679157580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA WHICKER AUD

Provider Business Mailing Address
First Line	:	2206 MAIN ST
Second Line	:
City	:	MILES CITY
State	:	MT
Zip	:	59301-3802
Country	:	US
Telephone Number	:	406-853-2188
Fax Number	:

Provider Business Practice Location Address
First Line	:	1655 SHILOH RD STE D
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1726
Country	:	US
Telephone Number	:	406-969-2770
Fax Number	:	406-233-3985

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

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	11/17/2021

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Directions to “ JOSHUA WHICKER AUD” Practice Location

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