Healthcare Provider Details

I. General information

NPI: 1649333584
Provider Name (Legal Business Name): AA HEARING AID CENTER,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 03/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 MAIN STREET AA HEARING AID CENTER
BRIDGEPORT CT
06606-2306
US

IV. Provider business mailing address

4270 MAIN STREET AA HEARING AID CENTER
BRIDGEPORT CT
06606-2306
US

V. Phone/Fax

Practice location:
  • Phone: 203-374-8900
  • Fax:
Mailing address:
  • Phone: 203-374-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000211AUDIOLOGY
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number000236
License Number StateCT

VIII. Authorized Official

Name: MR. PETER G OGILVY
Title or Position: OWNER AUDIOLOGIST
Credential: MS
Phone: 203-374-8900