Doctor Name: | JUSTIN O WILSON |
NPI Number: | 1962492405 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | AUD |
License Number: | 754 |
Business Practice Address: | 800 West Ave S La Crosse, WI - 546018806 |
Business Phone Number: | 6083929888 |
Business Fax Number: | 6083924192 |
Mailing Address: | 800 West Ave S, LA CROSSE |
State: | WI |
Postal Code: | 546018806 |
Phone Number: | 6083929888 |
Fax Number: | 6083924192 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 06/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 754 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
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 |