Healthcare Provider Details

I. General information

NPI: 1326293606
Provider Name (Legal Business Name): HEARING UNLIMITED LC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2008
Last Update Date: 11/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 BEAM AVE SUITE 101
MAPLEWOOD MN
55109-1163
US

IV. Provider business mailing address

1655 BEAM AVE SUITE 101
MAPLEWOOD MN
55109-1163
US

V. Phone/Fax

Practice location:
  • Phone: 651-777-7837
  • Fax:
Mailing address:
  • Phone: 651-777-7837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number2325
License Number StateMN

VIII. Authorized Official

Name: CAMI LAWLESS
Title or Position: OWNER/MANAGER
Credential:
Phone: 651-777-7837