Individual
JEREMY MERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1723 HIGHWAY BLVD STE 2, SPENCER, IA 51301-2208
(800) 837-1049
Mailing address
4524 DEER SHADOW TRL, SIOUX CITY, IA 51106-9728
(712) 454-0031
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1081
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1081
HEARING AID DISPENSER LICENSE
IA
Enumeration date
06/26/2017
Last updated
06/26/2017
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