Healthcare Provider Details

I. General information

NPI: 1003985938
Provider Name (Legal Business Name): HEARING IMPROVEMENT CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 02/01/2022
Certification Date: 02/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 NORTH MAIN STREET
WEST HARTFORD CT
06107-1971
US

IV. Provider business mailing address

28 NORTH MAIN STREET
WEST HARTFORD CT
06107-1971
US

V. Phone/Fax

Practice location:
  • Phone: 860-561-2345
  • Fax: 860-561-2666
Mailing address:
  • Phone: 860-561-2345
  • Fax: 860-561-2666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. ALAN JOHN DUMAINE
Title or Position: MEMBER LLC
Credential: MA CCCA
Phone: 860-529-3443