Hearing Instrument Specialist in PLYMOUTH, MN
Last Updated on : Jul 08,2007
TABITA JACKSON is a Hearing Instrument Specialist provider in PLYMOUTH, United States. Her medical specialization is Hearing Instrument Specialist .
1316004880 is NPI number of TABITA JACKSON.
TABITA JACKSON's primary taxonomy code based on NPI Lookup is 237700000X with license number 3500104616. This taxonomy code refers to Hearing Instrument Specialist.
TABITA JACKSON has more than 15 years of experience.
TABITA JACKSON current practice location address is 5000 CHESHIRE LN N, PLYMOUTH, MN. TABITA JACKSON can be reached out via phone at 888-333-9152 and via fax at 763-268-4240 .
You can also correspond with TABITA JACKSON through mail at mailing address 224 FULTON ST E, GRAND RAPIDS, MI, United States. Mailing address contact number is 616-459-7122.
The enumeration date of TABITA JACKSON is 03-Jan-2007. The provider is registered as an Individual and the NPI record was last updated 16 years ago.Basic NPI information of TABITA JACKSON (NPI 1316004880) is provided below.
Name | TABITA JACKSON |
---|---|
National Provider Id (NPI) | 1316004880 |
Entity Type | Individual |
Gender | F |
Credential | |
Practice Address | 5000 CHESHIRE LN N,
PLYMOUTH, MN, United States |
Practice Telephone | 888-333-9152 |
Practice Fax Number | 763-268-4240 |
Mailing Address | 224 FULTON ST E ,
GRAND RAPIDS, MI, United States |
Mailing Telephone | 616-459-7122 |
Mailing Fax Number | 616-459-3277 |
Enumeration Date | 03-Jan-2007 |
Last Updated Date | 08-Jul-2007 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 3500104616 | MI |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
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---|---|---|---|---|
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25-Sep-2007 |
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06-Feb-2018 |
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The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1316004880 is the NPI number of TABITA JACKSON.
What is the specialty for TABITA JACKSON?The Specialty of TABITA JACKSON is Hearing Instrument Specialist.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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