NPI 1043466790

Brad McMillin INC

Organisation Hearing Aid Equipment Granite City, IL

Practice location

Address: 3142 Nameoki Rd, Granite City, IL 62040-5013
Phone: (618) 451-1900
Fax: (618) 451-1918
Mailing address: 1415 West Highway 50, O'Fallon, IL 62269

Authorised official

Name: Patty L McCubbins
Title: Accounts Receivable
Phone: (618) 624-4471

Registered specialties

Hearing Aid Equipment Primary

Suppliers Taxonomy 332S00000X Licence IL 2792 (IL)

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Registry record

NPI: 1043466790
Entity type: Organization
NPI issued: 13 Aug 2008
Record last updated: 24 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.