Healthcare Provider Details

I. General information

NPI: 1144413279
Provider Name (Legal Business Name): ROBERT I WILLIAMS HEARING AIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 GLENDON ST
WOLFEBORO NH
03894-4481
US

IV. Provider business mailing address

PO BOX 875
WOLFEBORO NH
03894-0875
US

V. Phone/Fax

Practice location:
  • Phone: 603-569-2799
  • Fax: 603-569-1815
Mailing address:
  • Phone: 603-569-2799
  • Fax: 603-569-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberH501
License Number StateNH

VIII. Authorized Official

Name: MS. JESSICA L WILLIAMS
Title or Position: OWNER
Credential: HEARING INST SPEC
Phone: 603-569-2799