Healthcare Provider Details
I. General information
NPI: 1316492911
Provider Name (Legal Business Name): THE HEARING & TINNITUS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2016
Last Update Date: 12/23/2019
Certification Date: 12/23/2019
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 W. 120TH AVE SUITE 214
WESTMINSTER CO
80234
US
IV. Provider business mailing address
1001 W 120TH AVE STE 214
WESTMINSTER CO
80234-2703
US
V. Phone/Fax
- Phone: 720-749-3152
- Fax: 720-306-2473
- Phone: 720-749-3152
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JEFFERY
L.
BARON
Title or Position: OWNER/AUDIOLOGIST.
Credential: AV. D
Phone: 720-749-3152