Healthcare Provider Details

I. General information

NPI: 1831392406
Provider Name (Legal Business Name): PARKER FOCHT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 SHATTUCK AVE
BERKELEY CA
94704-1209
US

IV. Provider business mailing address

2118 SHATTUCK AVE
BERKELEY CA
94704-1209
US

V. Phone/Fax

Practice location:
  • Phone: 510-841-0681
  • Fax: 510-841-0695
Mailing address:
  • Phone: 510-841-0681
  • Fax: 510-841-0695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU-1268
License Number StateCA

VIII. Authorized Official

Name: PAUL CHRISTOPHER FOCHT
Title or Position: OWNER - PRESIDENT
Credential: MS
Phone: 510-841-0681