Healthcare Provider Details
I. General information
NPI: 1356740591
Provider Name (Legal Business Name): NEW ENGLAND SOUND LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2014
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
267 PLAINFIELD RD SPC B
WEST LEBANON NH
03784-2017
US
IV. Provider business mailing address
131 ENTERPRISE RD
JOHNSTOWN NY
12095-3326
US
V. Phone/Fax
- Phone: 603-790-8197
- Fax: 603-790-8210
- Phone: 401-353-4174
- Fax: 401-488-5774
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RANDY
FRASIER
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential:
Phone: 603-790-8197