Healthcare Provider Details

I. General information

NPI: 1659964799
Provider Name (Legal Business Name): ALLIANCE HEARING AIDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2021
Last Update Date: 02/24/2021
Certification Date: 02/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 PLEASANT ST STE 1
CONCORD NH
03301-2952
US

IV. Provider business mailing address

194 PLEASANT ST STE 1
CONCORD NH
03301-2952
US

V. Phone/Fax

Practice location:
  • Phone: 603-415-3277
  • Fax: 603-415-0055
Mailing address:
  • Phone: 603-415-3277
  • Fax: 603-415-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. DWIGHT VALDEZ
Title or Position: AUDIOLOGIST
Credential: M.A. FAAA
Phone: 603-415-3277