Peter J Marincovich in Santa Rosa - Audiologist-hearing Aid Fitter

Peter J Marincovich - NPI 1417044801

Peter J Marincovich is a Audiologist-hearing Aid Fitter in Santa Rosa, California. Peter J Marincovich practices all healthcare services and medical treatments related to Audiologist-hearing Aid Fitter. 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-hearing Aid Fitter
Taxonomy 237600000X
Licence No HA1949
Definition:
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatm

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

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FAQs about Peter J Marincovich

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-hearing Aid Fitter, and it falls under the taxonomy code 237600000X, 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.

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