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Search › Illinois › Hearing Instrument Specialist

Joseph Jackson

NPI 1184029563 · on the registry since 2014 · sole proprietor

Practice

Address
1415 W Us Highway 50
O Fallon, IL 62269
Phone
(618) 624-4471
Fax
(618) 624-4496
Organisation at this address
Brad Mcmillin Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Hearing Instrument Specialist
237700000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-10-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois