Healthcare Provider Details
I. General information
NPI: 1689629453
Provider Name (Legal Business Name): AHEARINGAID.COM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1155 S TELSHOR BLVD SUITE 306
LAS CRUCES NM
88011-1009
US
IV. Provider business mailing address
1155 S TELSHOR BLVD SUITE 306
LAS CRUCES NM
88011-1009
US
V. Phone/Fax
- Phone: 505-522-7610
- Fax:
- Phone: 505-522-7610
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
STEVE
MCAFEE
Title or Position: OWNER/CMO
Credential:
Phone: 505-522-7610