Healthcare Provider Details

I. General information

NPI: 1083736979
Provider Name (Legal Business Name): CAPE & ISLANDS HEARING CENTER'S INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 10/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56 MAIN ST
ORLEANS MA
02653-9998
US

IV. Provider business mailing address

PO BOX 1690
ORLEANS MA
02653-1690
US

V. Phone/Fax

Practice location:
  • Phone: 508-255-4421
  • Fax:
Mailing address:
  • Phone: 508-255-4421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK E. CULLEN
Title or Position: OWNER
Credential:
Phone: 508-255-4421