Healthcare Provider Details
I. General information
NPI: 1528113065
Provider Name (Legal Business Name): CARTER HEARING AID SERVICE,INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2728 ASBURY RD SUITE 100
DUBUQUE IA
52001-2971
US
IV. Provider business mailing address
2728 ASBURY RD SUITE 100
DUBUQUE IA
52001-2971
US
V. Phone/Fax
- Phone: 563-582-9916
- Fax:
- Phone: 563-582-9916
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVEN
G.
HORNUNG
Title or Position: CEO
Credential:
Phone: 563-582-9916