Provider Demographics
NPI:1639316342
Name:VERHOYE, JAMES R (CHID)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:R
Last Name:VERHOYE
Suffix:
Gender:M
Credentials:CHID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:982 THOMAS AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2638
Mailing Address - Country:US
Mailing Address - Phone:651-645-6221
Mailing Address - Fax:
Practice Address - Street 1:982 THOMAS AVE.
Practice Address - Street 2:
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104
Practice Address - Country:US
Practice Address - Phone:651-645-6221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2639237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist