Individual
MR. TROY MATTHEW HOLLOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2406 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5271
(618) 997-5856
(618) 997-5856
Mailing address
2406 WILLIAMSON COUNTY PKWY, MARION, IL 62959-5271
(618) 997-5856
(618) 997-5856
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3338
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3338
HEARING AID DISPENSER LICENSE
IL
Enumeration date
02/05/2020
Last updated
02/05/2020
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