Peter J Marincovich in Santa Rosa - Audiologist
Peter J Marincovich - NPI 1417044801
Peter J Marincovich is a Audiologist in Santa Rosa, California. Peter J Marincovich practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Peter J Marincovich is 1417044801. The last update date is 2013-03-13.
Peter J Marincovich's current location address is 1111 Sonoma Ave, Santa Rosa, California. You can contact this provider via phone number 7075234740 and fax number 7075230231. The mailing address for Peter J Marincovich is 1111 Sonoma Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peter J Marincovich |
|---|---|
| Address | 1111 Sonoma Ave, Santa Rosa, California |
| Phone Number | 7075234740 |
| Fax Number | 7075230231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AUDI |
|---|---|
| Authorized Official Name | Marincovich Jansen Peter |
| Credentials | PHD AUDIOL |
| Telephone Number | 7075234740 |
NPI Number Detail
| NPI Number | 1417044801 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2013-03-13 |
Provider Mailing Address Detail
| Address | 1111 Sonoma Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054819 |
| Phone Number | 7075234740 |
| Fax Number | 7075230231 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | AU758 |
|
Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640002077 | CA | RRM | |
| ZZZ03361Z | CA | BLUE SHIELD | |
| AU0007580 | CA | -- | |
| ZZZ03362Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Peter J Marincovich by the Centers for Medicare & Medicaid Services?
The Peter J Marincovich has been issued the NPI (National Provider Identifier) 1417044801. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Peter J Marincovich is physically located?
The Peter J Marincovich is physically situated at the following address: 1111 Sonoma Ave, Santa Rosa, CA, 954054819.
What is the Peter J Marincovich's area of specialization and corresponding taxonomy classification?
The Peter J Marincovich's specialty field is Audiologist, and it falls under the taxonomy code 231H00000X, which categorizes healthcare providers based on their specialties.
On what date did Peter J Marincovich receive its 1417044801 assignment from the Centers for Medicare & Medicaid Services?
The Peter J Marincovich was assigned its 1417044801 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Peter J Marincovich most recently updated?
The details pertaining to the Peter J Marincovich, including its address, specialty, and other relevant information, were last refreshed on 2013-03-13.