Healthcare Provider Details

I. General information

NPI: 1518148410
Provider Name (Legal Business Name): AUDIOLOGY AND HEARING INSTRUMENTS OF NH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 12/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 PLEASANT ST
CONCORD NH
03301-3948
US

IV. Provider business mailing address

66 PLEASANT ST
CONCORD NH
03301-3948
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-3346
  • Fax: 603-224-2149
Mailing address:
  • Phone: 603-224-3346
  • Fax: 603-224-2149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberA12
License Number StateNH

VIII. Authorized Official

Name: DR. DAVID JOSEPH CIELICZKA
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 603-224-3346