Individual
JEFFREY D GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.,CCC-A
Contact information
Practice address
401 15TH AVE S, STE 207, GREAT FALLS, MT 59405-4334
(406) 727-6577
(406) 727-6577
Mailing address
401 15TH AVE S, STE 207, GREAT FALLS, MT 59405-4334
(406) 727-6577
(406) 727-6577
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
395
MT
332S00000X
Hearing Aid Equipment
150
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000532372
—
MT
05
—
0000561323
—
MT
01
—
0144546
ST OF WA WORK COMP
MT
01
—
29048
BCBS
MT
01
—
605313300
DEPT OF LABOR
MT
Enumeration date
05/01/2007
Last updated
11/06/2015
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