PETER J. MARINCOVICH; NPI #1275888976

Contact Information

PETER J. MARINCOVICH

45080 LITTLE LAKE ST
MENDOCINO, CA 95460

Phone: 707-937-4667
Fax: 707-937-3404
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hearing and Speech	261QH0700X

Indicates primary specialty

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NPI Profile & details for PETER J. MARINCOVICH

NPI Number 1275888976

LBN Legal business name PETER J. MARINCOVICH

Authorized official PETER MARINCOVICH - (AUDIOLOGIST/OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/18/2012

Last updated 05/10/2017 - About 9 years ago

Identifiers

License #

AU758

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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