Healthcare Provider Details

I. General information

NPI: 1912968983
Provider Name (Legal Business Name): CEDAR RAPIDS HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2006
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 - 29TH ST NE STE A
CEDAR RAPIDS IA
52402-3452
US

IV. Provider business mailing address

1825 - 29TH ST NE STE A
CEDAR RAPIDS IA
52402-3452
US

V. Phone/Fax

Practice location:
  • Phone: 319-286-8782
  • Fax: 319-286-8798
Mailing address:
  • Phone: 319-286-8782
  • Fax: 319-286-8798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number309
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number523
License Number StateIA

VIII. Authorized Official

Name: NANCY L SICKELKA
Title or Position: MANAGER
Credential: AUD
Phone: 319-286-8782