Healthcare Provider Details
I. General information
NPI: 1811134679
Provider Name (Legal Business Name): TOWER CENTER FOR BETTER HEARING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2009
Last Update Date: 01/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 COLORADO AVE SUITE 150
TURLOCK CA
95382-2706
US
IV. Provider business mailing address
1801 COLORADO AVE SUITE 150
TURLOCK CA
95382-2706
US
V. Phone/Fax
- Phone: 209-216-3315
- Fax: 209-216-3316
- Phone: 209-216-3315
- Fax: 209-216-3316
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | HA 7430 |
| License Number State | CA |
VIII. Authorized Official
Name:
WILLIAM
D
ANDERSON
Title or Position: OWNER
Credential: MD
Phone: 209-216-3315