Healthcare Provider Details

I. General information

NPI: 1316020597
Provider Name (Legal Business Name): DISCOVERY HEARING AID CO OP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4318 DOWNTOWNER LOOP NORTH SUITE K
MOBILE AL
36609-5508
US

IV. Provider business mailing address

4318 DOWNTOWNER LOOP NORTH SUITE K
MOBILE AL
36609-5508
US

V. Phone/Fax

Practice location:
  • Phone: 251-342-1144
  • Fax: 251-342-2158
Mailing address:
  • Phone: 251-342-1144
  • Fax: 251-342-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD JOHN KAISER
Title or Position: PRESIDENT
Credential: BA BC HIS
Phone: 251-342-1144