Healthcare Provider Details
I. General information
NPI: 1053701979
Provider Name (Legal Business Name): BILLINGS HEARING AID SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2015
Last Update Date: 01/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 POLY DR SUITE 102
BILLINGS MT
59102-1748
US
IV. Provider business mailing address
1500 POLY DR SUITE 102
BILLINGS MT
59102-1748
US
V. Phone/Fax
- Phone: 406-252-4731
- Fax: 406-252-7698
- Phone: 406-252-4731
- Fax: 406-252-7698
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GARY
H
KIDDER
Title or Position: OWNER
Credential:
Phone: 406-252-4731