Healthcare Provider Details

I. General information

NPI: 1053656017
Provider Name (Legal Business Name): HUH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2012
Last Update Date: 12/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2234 N WAHSATCH AVE
COLORADO SPRINGS CO
80907-6940
US

IV. Provider business mailing address

7 EDGEWATER DR
PAGOSA SPRINGS CO
81147-9030
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-2376
  • Fax: 970-632-5063
Mailing address:
  • Phone: 970-731-4554
  • Fax: 970-731-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number174
License Number StateCO

VIII. Authorized Official

Name: SCOTT ERICKSON
Title or Position: PRES/HEARING INSTRUMENT SPECIALIST
Credential: BC-HIS
Phone: 970-731-4554