Individual
MR. JIMMY R GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOARD CERTIFIED HEAR
Contact information
Practice address
2211 ONEIDA AVE, DAYTON, OH 45414-5629
(937) 275-6364
Mailing address
2211 ONEIDA AVE, DAYTON, OH 45414-5629
(937) 275-6364
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
551
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451265
—
OH
01
—
551
STATE LICENSE NUMBER
OH
Enumeration date
05/16/2007
Last updated
06/27/2011
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