Healthcare Provider Details

I. General information

NPI: 1447476569
Provider Name (Legal Business Name): HEARING HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 4TH ST
CRESCENT CITY CA
95531-4001
US

IV. Provider business mailing address

PO BOX 2475
CRESCENT CITY CA
95531-1900
US

V. Phone/Fax

Practice location:
  • Phone: 541-469-4030
  • Fax: 541-412-0670
Mailing address:
  • Phone: 541-469-4030
  • Fax: 541-412-0670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3110
License Number StateCA

VIII. Authorized Official

Name: PAMELA A DERAITA
Title or Position: OWNER
Credential:
Phone: 541-469-4030