Provider Demographics
NPI:1447551445
Name:JARVIS, SHAWN ERIC
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:ERIC
Last Name:JARVIS
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 1:169 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-3190
Mailing Address - Country:US
Mailing Address - Phone:603-287-4502
Mailing Address - Fax:603-287-4505
Practice Address - Street 1:169 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-3190
Practice Address - Country:US
Practice Address - Phone:603-287-4502
Practice Address - Fax:603-287-4505
Is Sole Proprietor?:No
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH582237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist