National Provider Identifier Database

PETER J MARINCOVICH
Hearing and Speech

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.


Contact Information

PETER J. MARINCOVICH
45080 LITTLE LAKE ST
MENDOCINO, CA95460
Phone: 707-937-4667
Fax: 707-937-3404
Website:
Specialty Taxonomy Code
* Hearing and Speech 261QH0700X

* Indicates primary specialty

NPI Profile & details for PETER J. MARINCOVICH

NPI Number 1275888976
Legal business name
LBN
PETER J. MARINCOVICH
Authorized official PETER MARINCOVICH - (AUDIOLOGIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/18/2012
Last updated 05/10/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: AU758

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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