Individual
MRS. ELIZABETH ANN EINWECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BC HIS
Contact information
Practice address
422 S 8TH STREET, QUINCY, IL 62301-4150
(217) 228-0542
(217) 228-0547
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
MO
237700000X
Hearing Instrument Specialist
535
IL
237700000X
Hearing Instrument Specialist
Primary
590
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912922733
—
IL
Enumeration date
08/27/2008
Last updated
03/17/2018
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