Healthcare Provider Details

I. General information

NPI: 1205913795
Provider Name (Legal Business Name): MASTER PLAN HEARING AID CO., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 S CHERRY ST SUITE #777
DENVER CO
80246-1226
US

IV. Provider business mailing address

425 S CHERRY ST SUITE #777
DENVER CO
80246-1226
US

V. Phone/Fax

Practice location:
  • Phone: 303-355-0007
  • Fax: 303-355-2064
Mailing address:
  • Phone: 303-355-0007
  • Fax: 303-355-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD354
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberAUD354
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD354
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD2
License Number StateCO

VIII. Authorized Official

Name: MR. ROBERT PHILIP HOFFARTH
Title or Position: PRESIDENT
Credential: ACA, BC-HIS
Phone: 303-355-0007