Doctor Name: | MARK R MCSHANE |
NPI Number: | 1689700338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | AU.D |
License Number: | |
Business Practice Address: | 1111 W Centre Ave Portage, MI - 490245317 |
Business Phone Number: | 2693240301 |
Business Fax Number: | 2693242387 |
Mailing Address: | 215 Shuman Blvd, Suite 401 NAPERVILLE |
State: | IL |
Postal Code: | 605638458 |
Phone Number: | 6303035380 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237600000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
Taxonomy Specialization: | |
Taxonomy 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 |