Healthcare Provider Details

I. General information

NPI: 1164651840
Provider Name (Legal Business Name): R & L HEARING CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2009
Last Update Date: 04/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 COUNTY ROAD 10 NE SUITE 101
BLAINE MN
55434-2373
US

IV. Provider business mailing address

203 N 8TH AVE E
DULUTH MN
55805-3254
US

V. Phone/Fax

Practice location:
  • Phone: 763-783-7888
  • Fax:
Mailing address:
  • Phone: 218-724-3477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2609
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1284-060
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2030
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2689
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2664
License Number StateMN

VIII. Authorized Official

Name: MR. DAVID J RUTFORD
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 218-724-3477