Provider Demographics
NPI:1376385955
Name:GIAMO, JAMESON (HIS)
Entity type:Individual
Prefix:
First Name:JAMESON
Middle Name:
Last Name:GIAMO
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03581-4918
Mailing Address - Country:US
Mailing Address - Phone:603-602-8039
Mailing Address - Fax:
Practice Address - Street 1:609 MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:GORHAM
Practice Address - State:NH
Practice Address - Zip Code:03581-4918
Practice Address - Country:US
Practice Address - Phone:603-602-8039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2045237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist