Healthcare Provider Details

I. General information

NPI: 1043600653
Provider Name (Legal Business Name): ALLIANCE AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 02/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST SUITE 2
CONCORD NH
03301-2952
US

IV. Provider business mailing address

194 PLEASANT ST SUITE 2
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-2353
  • Fax:
Mailing address:
  • Phone: 603-224-2353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER H DANIELL
Title or Position: MANAGER
Credential: MD
Phone: 603-224-2353