Healthcare Provider Details
I. General information
NPI: 1336379593
Provider Name (Legal Business Name): NEVE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2009
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
133 W 1ST ST
WACONIA MN
55387-1333
US
IV. Provider business mailing address
1730 PLYMOUTH RD STE 301
MINNETONKA MN
55305-1970
US
V. Phone/Fax
- Phone: 952-442-6370
- Fax:
- Phone: 952-541-1799
- Fax: 952-541-5451
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
NEVE
Title or Position: PRESIDENT
Credential: AUD
Phone: 952-541-1799