Provider Demographics
NPI:1558644427
Name:GIGOT, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:GIGOT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CORPORATE DR
Mailing Address - Street 2:STE 1
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-1281
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 N MILITARY AVE
Practice Address - Street 2:SUITE 4A
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-4569
Practice Address - Country:US
Practice Address - Phone:920-497-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1361060237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist