Provider Demographics
NPI:1831384106
Name:SHIMA, NOEL J
Entity type:Individual
Prefix:MR
First Name:NOEL
Middle Name:J
Last Name:SHIMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 GLACIER HWY
Mailing Address - Street 2:SUITE 116
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8087
Mailing Address - Country:US
Mailing Address - Phone:907-789-6780
Mailing Address - Fax:907-789-5828
Practice Address - Street 1:8800 GLACIER HWY
Practice Address - Street 2:SUITE 116
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-8087
Practice Address - Country:US
Practice Address - Phone:907-789-6780
Practice Address - Fax:907-789-5828
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK75237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist