MR. JACOB DANIEL MARLOW (NPI# 1013381128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013381128 |
| Entity Type | Individual |
| Full Name | MR. JACOB DANIEL MARLOW |
| Credential | H.I.D. |
| Practice Address |
2412 E Washington St Suite 2 Bloomington IL 61704-4497 |
| Mailing Address |
18649 N Apache Path Danvers IL 61732-9050 |
| Practice Telephone | 3096620622 |
| Practice Fax Number | 3096623384 |
| Mailing Telephone | 3096840888 |
| Mailing Fax Number | 3096623384 |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3215 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326456468 | Jacob Marlow | Physical Therapy Assistant | 503 S 18th St, Laramie, WY 82070-4303 | 2014-07-31 |
| Street Address |
2412 E WASHINGTON ST SUITE 2 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-4497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467428409 | Leslie R Quiram | Chiropractor | 2412 E Washington St, Suite 9a, Bloomington, IL 61704-4497 | 2006-02-28 |
| 1306371299 | Blueze LLC | Family Medicine | 2412 E Washington St, Suite 6, Bloomington, IL 61704-4497 | 2017-04-27 |
| 1104128149 | Accuquest Hearing Center | Clinic/Center | 2412 E Washington St, Ste 2a, Bloomington, IL 61704-4497 | 2010-11-24 |
| 1164738175 | Ann Youngman | Hearing Instrument Specialist | 2412 E Washington St, Bloomington, IL 61704-4497 | 2010-08-27 |
| 1285945261 | Main Healthcare S C | Chiropractor | 2412 E Washington St, Suite 6a, Bloomington, IL 61704-4497 | 2010-06-24 |
| 1730323700 | Chasity Timeka Bogay | Speech-Language Pathologist | 2412 E Washington St, Suite 8b, Bloomington, IL 61704-4497 | 2009-04-22 |
| 1255511283 | Speech & Learning Connections | Speech-Language Pathologist | 2412 E Washington St, 8b, Bloomington, IL 61704-4497 | 2007-11-07 |
| 1669431912 | Mary K Dellorto | Psychologist | 2412 E Washington St, Suite 3, Bloomington, IL 61704-4497 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962918367 | Tyler James Shank | Hearing Instrument Specialist | 2088 S Liberty Dr Ste 112, Bloomington, IN 47403-5171 | 2017-12-20 |
| 1497265870 | Midstate Hearing Inc. | Hearing Instrument Specialist | 3801 Ge Rd Ste 1, Bloomington, IL 61704-4193 | 2017-10-11 |
| 1790141117 | David Lewis | Hearing Instrument Specialist | 1833 N Kinser Pike, Bloomington, IN 47404-1914 | 2016-01-14 |
| 1881998102 | Mark Wayne Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2010-12-29 |
| 1477788388 | Paul Allen Thulin | Hearing Instrument Specialist | 10800 Normandale Blvd, Suite 103m, Bloomington, MN 55437-3130 | 2009-05-20 |
| 1659554277 | Shank & Wells Enterprises, LLC | Hearing Instrument Specialist | 2088 S Liberty Dr, Suite 112, Bloomington, IN 47403-5171 | 2007-12-06 |
| 1205974573 | Lori Ann Elkins | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2007-02-01 |
| 1396379616 | Katherine A Mcclintock | Hearing Instrument Specialist | 3801 General Electric Rd Ste 1, Bloomington, IL 61704-4193 | 2020-02-25 |
| 1639680184 | Teresa D Luttrell | Hearing Instrument Specialist | 2920 S Mcintire Dr, Bloomington, IN 47403-4221 | 2017-10-23 |
| 1760812234 | Kelly Amanda Wycoff | Hearing Instrument Specialist | 359 S Landmark Ave, Bloomington, IN 47403-5002 | 2013-11-20 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.