NPI 1285854737

Bradley C Jackson

Practitioner Hearing Instrument Specialist O Fallon, MO

Practice location

Address: 2969 Highway K, O Fallon, MO 63368-7862
Phone: (636) 379-4691
Fax: (636) 379-4820
Mailing address: 1415 West US Highway 50, O Fallon, IL 62269-3014

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 2005036116 (MO)

Other Hearing Instrument Specialist providers in Missouri →

Registry record

NPI: 1285854737
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2007
Record last updated: 28 Aug 2013

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.