MEDICARE: AMPLIFON USA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231HA2400X	Assistive Technology Practitioner Audiologist	262	NV
2	231H00000X	Audiologist	A-145	NV

General Provider Information

NPI Number	:	1821014234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMPLIFON USA

Provider Business Mailing Address
First Line	:	5000 CHESHIRE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-3706
Country	:	US
Telephone Number	:	888-333-9152
Fax Number	:

Provider Business Practice Location Address
First Line	:	540 MARKS ST
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-6654
Country	:	US
Telephone Number	:	702-898-7315
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	PAUL M D'AMICO
Credential	:
Telephone Number	:	888-333-9152

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	03/18/2008

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Directions to “AMPLIFON USA ” Practice Location

Language	Start Address	Practice Location

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