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NPI Code Detail

MEDICARE: MRS. JANET M BROWN BC-HIS

MEDICARE: MRS. JANET M BROWN BC-HIS
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
1237700000XHearing Instrument Specialist001293MO

General Provider Information

NPI Number : 1982788386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET M BROWN BC-HIS
Provider Business Mailing Address
First Line : 215 SHUMAN BLVD STE 401
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8123
Country : US
Telephone Number : 630-303-5380
Fax Number : 630-303-5385
Provider Business Practice Location Address
First Line : 301 N WASHINGTON ST
Second Line : SUITE 4B
City : FARMINGTON
State : MO
Zip : 63640-1751
Country : US
Telephone Number : 573-756-5550
Fax Number : 573-756-5255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/17/2018

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