Healthcare Provider Details
I. General information
NPI: 1396178539
Provider Name (Legal Business Name): ARAPAHOE HEARING ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/12/2013
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 E ARAPAHOE RD #105
CENTENNIAL CO
80112-1260
US
IV. Provider business mailing address
7600 E ARAPAHOE RD #105
CENTENNIAL CO
80112-1260
US
V. Phone/Fax
- Phone: 303-770-4327
- Fax: 303-770-4503
- Phone: 303-770-4327
- Fax: 303-770-4503
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
LONGTAIN
Title or Position: PRESIDENT
Credential:
Phone: 503-257-6800