Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK DE BOER, CCC-A
ActiveMR. JACK DE BOER, CCC-A is a Audiologist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1750535373 is currently active in the NPPES registry. Verify at CMS.
Audiologist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1750535373
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 10, 2008 (17.782154191952 yrs)
- Last Updated
- Nov 10, 2008
- Licenses
-
1601000343 (MI)1601000342 (MI)1601000343 (MI)
Practice Information
- Address
-
2036 CHESANING DR SEGRAND RAPIDS, MI, 495065309Browse MI providers · Browse ZIP 49506
- Phone
- 6168193070
- Fax
- 6168193239
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Assistive Technology Audiologist
- Additional Specialty
- Audiologist-Hearing Aid Fitter
Other Audiologist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| KATHRYN KOZAK | MA CCC-A | 1306887989 |
| DEBRA YOUNGSMA | MA CCC-A | 1417999483 |
| MRS. ANGELA KAY BARTON | — | 1073542395 |
| MS. GILLIAN ANNE BORKOWSKI | M.ED. | 1083643977 |
| DR. MARY E SETSMA | AU. D. | 1841225695 |
| MELISSA ANN JORDAN | M.A., CCC-A | 1952320723 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.