Individual
BENJAMIN J PICKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
654 W RIDGEVIEW DR STE 2, APPLETON, WI 54911-1254
(920) 364-9791
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
WI
237700000X
Hearing Instrument Specialist
Primary
1431 - 60
WI
Other
Enumeration date
01/10/2014
Last updated
03/17/2018
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