Individual
MOHSIN AHMED MUKHTAR SHAIKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. CCC-A
Contact information
Practice address
400 E. 2ND ST, CENTENNIAL HALL, BLOOMSBURG, PA 17815-1301
(570) 389-5380
(570) 389-5022
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0388
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006491
PA
231H00000X
Audiologist
AUD157
HI
Other
Enumeration date
10/22/2015
Last updated
05/04/2018
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