Healthcare Provider Details
I. General information
NPI: 1679796106
Provider Name (Legal Business Name): AMPLIFON HEARING HEALTH CARE, CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2007
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 SOUTH 5TH ST. SUITE 2300
MINNEAPOLIS MN
55402-4223
US
IV. Provider business mailing address
150 SOUTH 5TH ST. SUITE 2300
MINNEAPOLIS MN
55402-4223
US
V. Phone/Fax
- Phone: 888-510-0766
- Fax:
- Phone: 888-510-0766
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TABATHA
ANN
ERCK
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 763-268-4208