Healthcare Provider Details

I. General information

NPI: 1891048401
Provider Name (Legal Business Name): FRANCES ELOUISE NEWMAN HEARING AID DEALER/O
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 SOUTHFORK AVENUE, SUITE 116
BATON ROUGE LA
70816-2259
US

IV. Provider business mailing address

11550 SOUTHFORK AVENUE, SUITE 116
BATON ROUGE LA
70816-2259
US

V. Phone/Fax

Practice location:
  • Phone: 225-293-0292
  • Fax: 225-293-4737
Mailing address:
  • Phone: 225-293-0292
  • Fax: 225-293-4737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1057
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: