Healthcare Provider Details

I. General information

NPI: 1134426729
Provider Name (Legal Business Name): ABRY HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3741 CENTER POINT RD NE
CEDAR RAPIDS IA
52402-2926
US

IV. Provider business mailing address

3741 CENTER POINT RD NE
CEDAR RAPIDS IA
52402-2926
US

V. Phone/Fax

Practice location:
  • Phone: 319-393-4673
  • Fax: 319-393-5315
Mailing address:
  • Phone: 319-393-4673
  • Fax: 319-393-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number00851
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. WILLIAM HAROLD FLETCHER
Title or Position: PRESIDENT
Credential:
Phone: 319-393-4673