Healthcare Provider Details
I. General information
NPI: 1730795717
Provider Name (Legal Business Name): DOCTOR DENISONS HEARING INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16205 W 64TH AVE STE B3
ARVADA CO
80007-7401
US
IV. Provider business mailing address
16205 W 64TH AVE STE B3
ARVADA CO
80007-7401
US
V. Phone/Fax
- Phone: 248-762-9976
- Fax:
- Phone: 248-762-9976
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2400X |
| Taxonomy | Assistive Technology Practitioner Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARGARET
DENISON
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 248-762-9976