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Individual

JACKIE LYNN CHIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCCC-A

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001373
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10106806
CDPHP
NY
01
87766
GHI
NY
01
9Y3021
EMPIREBLUECROSSBLUESHIELD
NY
Enumeration date
12/01/2006
Last updated
07/08/2007
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