Healthcare Provider Details
I. General information
NPI: 1124568159
Provider Name (Legal Business Name): HEARING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/23/2017
Last Update Date: 02/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
722 FRONT ST
LOUISVILLE CO
80027-1805
US
IV. Provider business mailing address
722 FRONT ST
LOUISVILLE CO
80027-1805
US
V. Phone/Fax
- Phone: 303-666-8149
- Fax: 303-666-9149
- Phone: 303-666-8149
- Fax: 303-666-9149
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AUD.0000111 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | HAD.0000178 |
| License Number State | CO |
VIII. Authorized Official
Name: MRS.
CHRISTINE
M
GERHARDT-JEWELL
Title or Position: AUDIOLOGIST
Credential: MACCC-A
Phone: 303-666-8149