Healthcare Provider Details

I. General information

NPI: 1164596060
Provider Name (Legal Business Name): HUH INC DBA PUEBLO HEARING AID SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W 6TH ST STE H
PUEBLO CO
81003-2389
US

IV. Provider business mailing address

7 EDGEWATER DR
PAGOSA SPRINGS CO
81147-9030
US

V. Phone/Fax

Practice location:
  • Phone: 719-543-2116
  • Fax: 719-543-2216
Mailing address:
  • Phone: 970-731-4554
  • Fax: 970-731-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number424
License Number StateCO

VIII. Authorized Official

Name: BRANDI SHEPARD
Title or Position: AUDIOLOGIST
Credential: M.S., CCC-A, FAAA
Phone: 719-543-2116