Healthcare Provider Details

I. General information

NPI: 1013179209
Provider Name (Legal Business Name): HEAR ON EARTH HEARING CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2008
Last Update Date: 06/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 N TELSHOR BLVD STE A
LAS CRUCES NM
88011-8244
US

IV. Provider business mailing address

920 N TELSHOR BLVD STE A
LAS CRUCES NM
88011-8244
US

V. Phone/Fax

Practice location:
  • Phone: 575-523-8816
  • Fax: 575-522-0026
Mailing address:
  • Phone: 575-523-8816
  • Fax: 575-522-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number290
License Number StateNM

VIII. Authorized Official

Name: MR. RAYMOND E BAMBERG
Title or Position: OWNER
Credential: BC-HIS
Phone: 575-523-8816