Provider Demographics
NPI:1770129041
Name:SMARGIASSO, ERIC (NBC, HIS)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SMARGIASSO
Suffix:
Gender:M
Credentials:NBC, HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 E UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-1701
Mailing Address - Country:US
Mailing Address - Phone:515-645-6907
Mailing Address - Fax:
Practice Address - Street 1:4440 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-1701
Practice Address - Country:US
Practice Address - Phone:515-645-6907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA079643237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1932354560OtherCONCEPT BY IOWA HEARING