Healthcare Provider Details
I. General information
NPI: 1033727680
Provider Name (Legal Business Name): VANIER HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2020
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
67 WATER ST STE 203
LACONIA NH
03246-3300
US
IV. Provider business mailing address
PO BOX 177
GILMANTON NH
03237-0177
US
V. Phone/Fax
- Phone: 603-259-1977
- Fax:
- Phone: 603-259-1977
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JASON
VANIER
Title or Position: OWNER
Credential: BC-HIS
Phone: 603-259-1977