Jack De Boer, CCC-A

Individual Active
NPI 1750535373
Audiologist Grand Rapids, MI

Jack De Boer, CCC-A holds NPI 1750535373, with a primary taxonomy of audiologist and a practice location in Grand Rapids, MI. The number was issued on November 10, 2008 and the NPPES record was last updated on November 10, 2008. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2008. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist Primary 231H00000X 1601000343 (MI)
Assistive Technology Practitioner Audiologist 231HA2400X 1601000342 (MI)
Audiologist-Hearing Aid Fitter 237600000X 1601000343 (MI)

Practice location

2036 Chesaning Dr SE
Grand Rapids, MI 49506-5309
Phone: (616) 819-3070

Local context

Active NPPES records list 78 providers with audiologist as the primary taxonomy within 25 miles of this practice location's ZIP code, 73 of them within 10 miles.

The same primary taxonomy is listed by 832 in Michigan and 25,124 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mr. Jack De Boer
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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