Individual
JONATHAN WAYNE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEARING AID DEALER
Contact information
Practice address
601 N 15 1/2 STREET, VINCENNES, IN 47591-4759
(812) 882-4715
(812) 882-4922
Mailing address
601 N 15TH 1/2 ST, VINCENNES, IN 47591-5607
(812) 882-4715
(812) 882-4922
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
770019588
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17001169A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
01/22/2018
Last updated
01/22/2018
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