Healthcare Provider Details
I. General information
NPI: 1003110024
Provider Name (Legal Business Name): DOCTOR'S HEARING CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3400 YOUNGFIELD ST UNIT 28B
WHEAT RIDGE CO
80033-5245
US
IV. Provider business mailing address
3400 YOUNGFIELD ST UNIT 28B
WHEAT RIDGE CO
80033-5245
US
V. Phone/Fax
- Phone: 303-377-4777
- Fax: 303-377-4770
- Phone: 303-377-4777
- Fax: 303-377-4770
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
KIRSTIE
TAYLOR
Title or Position: OWNER
Credential: AUD
Phone: 303-377-4777