Provider Demographics
NPI:1578706024
Name:POINTER, MICHAEL LOUIS (AAS)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:LOUIS
Last Name:POINTER
Suffix:
Gender:M
Credentials:AAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7359 267TH ST NW STE A
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-4100
Mailing Address - Country:US
Mailing Address - Phone:360-629-6554
Mailing Address - Fax:360-629-5454
Practice Address - Street 1:7359 267TH ST NW STE A
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-4100
Practice Address - Country:US
Practice Address - Phone:360-629-6554
Practice Address - Fax:360-629-5454
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA60018138237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist