Healthcare Provider Details

I. General information

NPI: 1568526887
Provider Name (Legal Business Name): NEW CREATION HEARING SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 PATTERSON RD UNIT 10
GRAND JUNCTION CO
81505-1279
US

IV. Provider business mailing address

2470 PATTERSON RD UNIT 10
GRAND JUNCTION CO
81505-1279
US

V. Phone/Fax

Practice location:
  • Phone: 970-241-7950
  • Fax: 790-241-7951
Mailing address:
  • Phone: 970-241-7950
  • Fax: 790-241-7951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number141
License Number StateCO

VIII. Authorized Official

Name: PATRICIA ANN ATCHISON
Title or Position: PRESIDENT
Credential: BCHIS
Phone: 970-241-7950