Healthcare Provider Details

I. General information

NPI: 1770919987
Provider Name (Legal Business Name): LOVEWELL HEARING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2013
Last Update Date: 09/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 PORTLAND ST
FRYEBURG ME
04037-1206
US

IV. Provider business mailing address

44 PORTLAND ST
FRYEBURG ME
04037-1206
US

V. Phone/Fax

Practice location:
  • Phone: 207-935-1210
  • Fax:
Mailing address:
  • Phone: 207-935-1210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberDL383
License Number StateME

VIII. Authorized Official

Name: ALLISON ANN WOLFE
Title or Position: OWNER
Credential:
Phone: 207-935-1210