Healthcare Provider Details

I. General information

NPI: 1528356912
Provider Name (Legal Business Name): CHRISTENSEN AUDIOLOGY & HEARING AID CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 N. 10TH
NEBRASKA CITY NE
68410-1236
US

IV. Provider business mailing address

7700 A ST SUITE 100
LINCOLN NE
68510-4206
US

V. Phone/Fax

Practice location:
  • Phone: 402-489-3450
  • Fax: 402-489-3452
Mailing address:
  • Phone: 402-489-3450
  • Fax: 402-489-3452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number172
License Number StateNE

VIII. Authorized Official

Name: ROY A CHRISTENSEN
Title or Position: OWNER/AUDIOLOGIST
Credential: M.S.
Phone: 402-489-3450