Healthcare Provider Details

I. General information

NPI: 1336573237
Provider Name (Legal Business Name): CAJUN HEARING CENTERS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1232 CAMELLIA BLVD SUITE B
LAFAYETTE LA
70508-6973
US

IV. Provider business mailing address

1232 CAMELLIA BLVD SUITE B
LAFAYETTE LA
70508-6973
US

V. Phone/Fax

Practice location:
  • Phone: 337-235-5437
  • Fax: 337-504-2141
Mailing address:
  • Phone: 337-235-5437
  • Fax: 337-504-2141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number5862
License Number StateLA

VIII. Authorized Official

Name: ALYSIA ROBIN
Title or Position: BUSINESS ADMINISTRATION
Credential:
Phone: 337-235-5437