MR. STEPHEN DALE GANNAWAY M.A. NPI 1073615589

NPI Information

MR. Stephen Dale Gannaway, M.A. is an audiologist hearing aid fitter in Joliet, IL. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. MR. Stephen Dale Gannaway, M.A. NPI is 1073615589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3143 W JEFFERSON ST
JOLIET, IL
ZIP 60435-733
Phone: (815) 744-6898
Fax: (815) 744-2486

The enumeration date for this NPI number is 9/4/2006 and was last updated on 3/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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