Doctor Name: | MR. CHARLES R. MORTHLAND |
NPI Number: | 1669488664 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ILLINOIS LICENSE # 0 |
License Number: | 0206 |
Business Practice Address: | 19 W Frankfort Plz West Frankfort, IL - 628964964 |
Business Phone Number: | 6189372492 |
Business Fax Number: | 6189373418 |
Mailing Address: | 19 W Frankfort Plz, WEST FRANKFORT |
State: | IL |
Postal Code: | 628964964 |
Phone Number: | 6189372492 |
Fax Number: | 6189373418 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 0206 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |