Healthcare Provider Details

I. General information

NPI: 1043480429
Provider Name (Legal Business Name): HUH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 07/26/2013
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:
Mailing address:
  • Phone: 970-731-4554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number174
License Number StateCO

VIII. Authorized Official

Name: GENNETTE ERICKSON
Title or Position: SECRETARY
Credential:
Phone: 970-731-4554