# JEFFREY D GRIFFIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912128521
- **Gender:** Man
- **Credential:** M.S.,CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 395 | MT | Yes |
| 332S00000X | Hearing Aid Equipment | 150 | MT | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 11/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0000532372 | — | MT |
| 05 | — | 0000561323 | — | MT |
| 01 | — | 0144546 | ST OF WA WORK COMP | MT |
| 01 | — | 29048 | BCBS | MT |
| 01 | — | 605313300 | DEPT OF LABOR | MT |