Healthcare Provider Details
I. General information
NPI: 1396325296
Provider Name (Legal Business Name): CARLSON'S HERITAGE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/13/2021
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 HILLTOP DR STE B
REDDING CA
96003-2856
US
IV. Provider business mailing address
2201 PILLSBURY RD STE 194
CHICO CA
95926-1373
US
V. Phone/Fax
- Phone: 530-223-4567
- Fax: 530-223-4566
- Phone: 530-514-5639
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
BARTLETT
Title or Position: CEO
Credential:
Phone: 530-514-5639