MEDICARE: JJC COMMUNICATIONS, LLC

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	261QH0700X	Hearing and Speech Clinic/Center	AUD-490	CO

General Provider Information

NPI Number	:	1881861219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJC COMMUNICATIONS, LLC

Provider Business Mailing Address
First Line	:	1009 S LEMAY AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3913
Country	:	US
Telephone Number	:	970-472-1085
Fax Number	:	970-472-1026

Provider Business Practice Location Address
First Line	:	1009 S LEMAY AVE
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80524-3913
Country	:	US
Telephone Number	:	970-472-1085
Fax Number	:	970-472-1026

Authorized Official
Title or Position	:	OWNER/AUDIOLOGIST
Name	:	JENNIFER LYNN ROBINSON
Credential	:	M.S.
Telephone Number	:	970-472-1085

Provider Enumeration Date	:	05/14/2008
Last Update Date	:	05/14/2008

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