Basic Information
| Provider Information | |||||||||
| NPI: | 1528346491 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MACPHAIL | ||||||||
| FirstName: | TONIA | ||||||||
| MiddleName: | |||||||||
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| Credential: | HIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7359 267TH ST NW STE A | ||||||||
| Address2: | |||||||||
| City: | STANWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982924100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606296554 | ||||||||
| FaxNumber: | 3606295454 | ||||||||
| Practice Location | |||||||||
| Address1: | 7359 267TH ST NW STE A | ||||||||
| Address2: | |||||||||
| City: | STANWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 982924100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3606296554 | ||||||||
| FaxNumber: | 3606295454 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2011 | ||||||||
| LastUpdateDate: | 07/26/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HA60209057 | WA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.