Provider Demographics
NPI:1225331895
Name:HARRINGTON, WILLIAM JEROME (HIS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JEROME
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3106
Mailing Address - Country:US
Mailing Address - Phone:406-628-4498
Mailing Address - Fax:406-628-8740
Practice Address - Street 1:109 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3106
Practice Address - Country:US
Practice Address - Phone:406-628-4498
Practice Address - Fax:406-628-8740
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT246237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist