Doctor Name: | MR. JEFFERY T BROTHERTON |
NPI Number: | 1801943576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | HA3182 |
Business Practice Address: | 1545 St Marks Plaza Suite 6 Stockton, CA - 652076411 |
Business Phone Number: | 2094779181 |
Business Fax Number: | 2094779192 |
Mailing Address: | 1545 St Marks Plaza, Suite 6 STOCKTON |
State: | CA |
Postal Code: | 652076411 |
Phone Number: | 2094779181 |
Fax Number: | 2094779192 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 03/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | HA3182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |