1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Audiologist
  6. NPI Profile

MR. JACK DE BOER CCC-A
NPI 1750535373
Audiologist in Grand Rapids, MI

Active since November 10, 2008
2036 CHESANING DR SE, GRAND RAPIDS, MI 49506(616) 819-3070(616) 819-3239 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jack De Boer Ccc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK DE BOER CCC-A (NPI 1750535373) is an individual audiologist in Grand Rapids, Michigan, licensed in Michigan (1601000343) and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1750535373
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameMR. JACK DE BOERCredential: CCC-A
Location Address2036 CHESANING DR SEGrand Rapids, MI 49506-5309
Mailing Address2036 Chesaning Dr SeGrand Rapids, MI 49506-5309 · (616) 819-3070 · Fax (616) 819-3239
Phone(616) 819-3070
Fax(616) 819-3239
Sole ProprietorNo
Enumeration DateNovember 10, 2008
✔ NPI 1750535373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MI · 1601000343
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedAudiologist · Assistive Technology PractitionerTaxonomy 231HA2400X · License 1601000342 (MI)
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 1601000343 (MI)
2036 CHESANING DR SE, Grand Rapids, MI 49506
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack De Boer's NPI number?

The NPI number for Jack De Boer is 1750535373. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Where is Jack De Boer located?

Jack De Boer practices at 2036 Chesaning Dr SE, Grand Rapids, MI 49506. The listed phone number is (616) 819-3070.

What is Jack De Boer's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Jack De Boer was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.