Healthcare Provider Details

I. General information

NPI: 1619206273
Provider Name (Legal Business Name): ROBKEN HEARING AID SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 12/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 CENTRAL AVE SUITE 2
HOT SPRINGS AR
71913-7210
US

IV. Provider business mailing address

3955 CENTRAL AVE SUITE 2
HOT SPRINGS AR
71913-7210
US

V. Phone/Fax

Practice location:
  • Phone: 479-739-4112
  • Fax:
Mailing address:
  • Phone: 479-739-4112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number609
License Number StateAR

VIII. Authorized Official

Name: MR. PHIL ROBKEN
Title or Position: PRESIDENT
Credential:
Phone: 479-739-4112