Doctor Name: | JOHN WILLIAM WILSON |
NPI Number: | 1386992626 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HIS |
License Number: | 210 |
Business Practice Address: | 7100 W 44th Ave Ste 102 Wheat Ridge, CO - 800334747 |
Business Phone Number: | 3034569811 |
Business Fax Number: | 3034200488 |
Mailing Address: | 8800 Se Sunnyside Rd, Ste 300-n CLACKAMAS |
State: | OR |
Postal Code: | 970155738 |
Phone Number: | 5036595115 |
Fax Number: | 5036595887 |
NPI Enumeration Date: | 08/16/2012 |
NPI Last Update Date: | 08/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |