Doctor Name: | MR. MIKE JOHNSON |
NPI Number: | 1972654804 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | HEARING AID SPECIALI |
License Number: | HA3515 |
Business Practice Address: | 26916 Cherry Hills Boulevard Sun City, CA - 92586 |
Business Phone Number: | 9516724940 |
Business Fax Number: | 9516727631 |
Mailing Address: | 26916 Cherry Hills Boulevard, SUN CITY |
State: | CA |
Postal Code: | 92586 |
Phone Number: | 9516724940 |
Fax Number: | 9516727631 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | HA3515 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |