Healthcare Provider Details

I. General information

NPI: 1780705327
Provider Name (Legal Business Name): GREGORY EDWARD SCOTT HEARING AID DISPENSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
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

Practice location:
  • Phone: 530-223-4567
  • Fax: 530-223-4566
Mailing address:
  • Phone: 530-343-2350
  • Fax: 530-343-2505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3126
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: