Healthcare Provider Details

I. General information

NPI: 1962897389
Provider Name (Legal Business Name): SEACOAST HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2015
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 LAFAYETTE RD UNIT 2
PORTSMOUTH NH
03801-5409
US

IV. Provider business mailing address

599 LAFAYETTE RD UNIT 2
PORTSMOUTH NH
03801-5409
US

V. Phone/Fax

Practice location:
  • Phone: 603-433-4488
  • Fax:
Mailing address:
  • Phone: 603-433-4488
  • Fax:

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: STEPHEN LITTLE
Title or Position: OWNER
Credential:
Phone: 603-433-4488