Healthcare Provider Details

I. General information

NPI: 1831222314
Provider Name (Legal Business Name): HEARING ASSOCIATES DBA SANDIA HEARING AIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 08/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 N BUTLER AVE STE 5101
FARMINGTON NM
87401-2392
US

IV. Provider business mailing address

4001 N BUTLER AVE STE 5101
FARMINGTON NM
87401-2392
US

V. Phone/Fax

Practice location:
  • Phone: 505-326-2791
  • Fax: 505-564-2811
Mailing address:
  • Phone: 505-326-2791
  • Fax: 505-564-2811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number0702
License Number StateNM

VIII. Authorized Official

Name: MICHAEL S FRENCH
Title or Position: PRESIDENT
Credential:
Phone: 505-326-2791