Provider Demographics
NPI:1639822497
Name:VINQUIST, JOSHUA (HIS, ACA)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:VINQUIST
Suffix:
Gender:M
Credentials:HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3558 KIMBALL AVE
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5733
Mailing Address - Country:US
Mailing Address - Phone:319-233-3368
Mailing Address - Fax:563-726-7383
Practice Address - Street 1:3558 KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5733
Practice Address - Country:US
Practice Address - Phone:319-233-3368
Practice Address - Fax:563-726-7383
Is Sole Proprietor?:No
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist