Provider Demographics
NPI:1689187379
Name:WHITTIER, CHESTER WARREN (HEARING SPECIALIST)
Entity Type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:WARREN
Last Name:WHITTIER
Suffix:
Gender:M
Credentials:HEARING SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 MAPLE ST STE D
Mailing Address - Street 2:
Mailing Address - City:CORNISH
Mailing Address - State:ME
Mailing Address - Zip Code:04020-3138
Mailing Address - Country:US
Mailing Address - Phone:207-749-1028
Mailing Address - Fax:207-893-2939
Practice Address - Street 1:885 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5342
Practice Address - Country:US
Practice Address - Phone:207-893-2930
Practice Address - Fax:207-893-2939
Is Sole Proprietor?:No
Enumeration Date:2017-11-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDL378237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter