Martin Jay Stephens, BC-HIS
Hearing Instrument Specialist in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1033743752
StatusActive
Last updated in NPPESMar 3, 2020
Details
- NPI
- 1033743752
- Entity type
- Individual (NPI-1)
- Name
- Mr. Martin Jay Stephens
- Credential
- BC-HIS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2020
- Certification date
- Mar 3, 2020
- Last updated
- Mar 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 237700000X | Hearing Instrument Specialist | 2234 | IL | Yes |
Practice location
1306 BroadwayMount Vernon, IL 62864
Phone 618-242-1126 · Fax 618-242-5296
Mailing address
1306 BroadwayMount Vernon, IL 62864
Phone 618-242-1126 · Fax 618-242-5296
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