Provider Demographics
NPI:1316283492
Name:STRATTON, ERIC
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:STRATTON
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 1:1055 BROADWAY
Mailing Address - Street 2:STE A
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-7445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1055 BROADWAY
Practice Address - Street 2:STE A
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-7445
Practice Address - Country:US
Practice Address - Phone:707-996-6331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist