Healthcare Provider Details

I. General information

NPI: 1861662249
Provider Name (Legal Business Name): HUH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 12/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 JUSTICE CENTER RD STE D
CANON CITY CO
81212
US

IV. Provider business mailing address

7 EDGEWATER DRIVE
PAGOSA SPRINGS CO
81147
US

V. Phone/Fax

Practice location:
  • Phone: 719-276-1082
  • Fax: 719-276-9497
Mailing address:
  • Phone: 970-731-4554
  • Fax: 970-731-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number212
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number174
License Number StateCO

VIII. Authorized Official

Name: MRS. GENNETTE M ERICKSON
Title or Position: SECRETARY FOR HUH INC.
Credential:
Phone: 970-731-4554