Individual
MRS. LINDA JEANNE PARMITER-JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
3500 N ROCK RD BLDG 1200, WICHITA, KS 67226-1334
(316) 858-3334
(316) 361-0638
Mailing address
3500 N ROCK RD BLDG 1200, WICHITA, KS 67226-1334
(316) 858-3334
(316) 361-0638
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
800
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018334
BC/BS
KS
05
—
100228560A
—
KS
01
—
4424
PHS
KS
01
—
640002454
RAIL ROAD MEDICARE
—
Enumeration date
06/15/2006
Last updated
10/17/2011
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