Healthcare Provider Details

I. General information

NPI: 1205344942
Provider Name (Legal Business Name): VAIL'S HEARING AIDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2018
Last Update Date: 01/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HEMLOCK DR
SACO ME
04072-2453
US

IV. Provider business mailing address

PO BOX 229
SACO ME
04072-0229
US

V. Phone/Fax

Practice location:
  • Phone: 207-284-9600
  • Fax: 207-284-9669
Mailing address:
  • Phone: 207-284-9600
  • Fax: 207-284-9600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL-160
License Number StateME

VIII. Authorized Official

Name: MR. MARK VAIL
Title or Position: OWNER
Credential:
Phone: 207-284-9600