Healthcare Provider Details

I. General information

NPI: 1922291889
Provider Name (Legal Business Name): A BETTER HEARING SOLUTION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 N BUTLER AVE
FARMINGTON NM
87401-6946
US

IV. Provider business mailing address

312 N BUTLER AVE
FARMINGTON NM
87401-6946
US

V. Phone/Fax

Practice location:
  • Phone: 505-564-9990
  • Fax: 505-564-9991
Mailing address:
  • Phone: 505-564-9990
  • Fax: 505-564-9991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number0657
License Number StateNM

VIII. Authorized Official

Name: MS. TERESA J BULLOCK
Title or Position: MANAGER / H A D TRAINEE
Credential:
Phone: 505-564-9990