Doctor Name: | MICHAEL ROBERT BROWN |
NPI Number: | 1306107081 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HIS |
License Number: | 2008028705 |
Business Practice Address: | 2055 W Us Highway 50 Fairview Heights, IL - 622082928 |
Business Phone Number: | 6186246485 |
Business Fax Number: | 6186246702 |
Mailing Address: | 6 Victory Drive, LIBERTY |
State: | MO |
Postal Code: | 64068 |
Phone Number: | 8168832660 |
Fax Number: | 8167929819 |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 05/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 2008028705 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |