Peter Jansen Marincovich in Santa Rosa - Audiologist
Peter Jansen Marincovich - NPI 1447327507
Peter Jansen Marincovich is a Audiologist in Santa Rosa, California. Peter Jansen Marincovich practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Peter Jansen Marincovich is 1447327507. The last update date is 2013-03-13.
Peter Jansen Marincovich's current location address is 1111 Sonoma Avenue, Santa Rosa, California. You can contact this provider via phone number 7075234740 and fax number 7075230231. The mailing address for Peter Jansen Marincovich is 1111 Sonoma Avenue, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Peter Jansen Marincovich |
---|---|
Address | 1111 Sonoma Avenue, Santa Rosa, California |
Phone Number | 7075234740 |
Fax Number | 7075230231 |
Sole Proprietor | Y |
Credentials | PHD AUDIOL |
NPI Number Detail
NPI Number | 1447327507 |
---|---|
Provider Enumeration Date | 2006-11-30 |
Last Updated Date | 2013-03-13 |
Provider Mailing Address Detail
Address | 1111 Sonoma Avenue |
---|---|
City | Santa Rosa |
State | California (CA) |
Post Code | 95405 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
AU0007580 | CA | -- | |
ZZZ03361Z | CA | BLUE SHIELD | |
640002077 | CA | RRM | |
ZZZ03362Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Peter Jansen Marincovich by the Centers for Medicare & Medicaid Services?
The Peter Jansen Marincovich has been issued the NPI (National Provider Identifier) 1447327507. 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 Jansen Marincovich is physically located?
The Peter Jansen Marincovich is physically situated at the following address: 1111 Sonoma Avenue, Santa Rosa, CA, 95405.
What is Peter Jansen Marincovich's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Peter Jansen Marincovich's specialized field of practice is Audiologist, and the corresponding taxonomy code that categorizes this area of specialization is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1447327507 to Peter Jansen Marincovich?
The Centers for Medicare & Medicaid Services assigned the 1447327507 to Peter Jansen Marincovich on 2006-11-30.
As of what date was the information pertaining to Peter Jansen Marincovich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Peter Jansen Marincovich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-13.