Healthcare Provider Details
I. General information
NPI: 1619232071
Provider Name (Legal Business Name): HINSON & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2012
Last Update Date: 07/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1275 HIGH STREET
AUBURN CA
95603-5016
US
IV. Provider business mailing address
1275 HIGH STREET
AUBURN CA
95603-5016
US
V. Phone/Fax
- Phone: 530-885-8350
- Fax: 530-885-7237
- Phone: 530-885-8350
- Fax: 530-885-7237
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | HA6089 |
| License Number State | CA |
VIII. Authorized Official
Name: MR.
ANTHONY
LAMONT
HINSON
Title or Position: OWNER.HEARING AID DISPENSER
Credential: HA6089
Phone: 530-885-8350