Healthcare Provider Details

I. General information

NPI: 1700912953
Provider Name (Legal Business Name): NEVE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 PLYMOUTH RD STE 301
MINNETONKA MN
55305-1962
US

IV. Provider business mailing address

1730 PLYMOUTH RD STE 301
MINNETONKA MN
55305-1962
US

V. Phone/Fax

Practice location:
  • Phone: 952-541-1799
  • Fax: 952-541-5451
Mailing address:
  • Phone: 952-541-1799
  • Fax: 952-541-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: EDWARD BRAUN
Title or Position: VP OF MANAGED CARE
Credential:
Phone: 732-529-7110