Healthcare Provider Details

I. General information

NPI: 1245158492
Provider Name (Legal Business Name): ERIC MITCHELL AUD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 DOUGLAS ST STE 3
UXBRIDGE MA
01569-1884
US

IV. Provider business mailing address

40 DOUGLAS ST STE 3
UXBRIDGE MA
01569-1884
US

V. Phone/Fax

Practice location:
  • Phone: 508-779-7701
  • Fax: 508-779-7702
Mailing address:
  • Phone: 508-779-7701
  • Fax: 508-779-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD100255
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: