Healthcare Provider Details

I. General information

NPI: 1629291240
Provider Name (Legal Business Name): HEARING SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 12TH AVE S STE D
FARGO ND
58103-8723
US

IV. Provider business mailing address

2700 12TH AVE S STE D
FARGO ND
58103-8723
US

V. Phone/Fax

Practice location:
  • Phone: 701-232-2438
  • Fax: 701-232-2439
Mailing address:
  • Phone: 701-232-2438
  • Fax: 701-232-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number713
License Number StateND

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier05228
Identifier TypeMEDICAID
Identifier StateND
Identifier Issuer
# 2
Identifier128913
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerUCARE
# 3
Identifier45G67HE
Identifier TypeOTHER
Identifier StateMN
Identifier IssuerBCBS MINNESOTA
# 4
Identifier20111
Identifier TypeOTHER
Identifier StateND
Identifier IssuerBCBS OF NORTH DAKOTA

VIII. Authorized Official

Name: MR. MATTHEW TROY FRISK
Title or Position: OWNER
Credential: AU.D.
Phone: 701-232-2438