Healthcare Provider Details

I. General information

NPI: 1821014234
Provider Name (Legal Business Name): AMPLIFON USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 MARKS ST
HENDERSON NV
89014-6654
US

IV. Provider business mailing address

5000 CHESHIRE LN N
PLYMOUTH MN
55446-3706
US

V. Phone/Fax

Practice location:
  • Phone: 702-898-7315
  • Fax:
Mailing address:
  • Phone: 888-333-9152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-145
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number262
License Number StateNV

VIII. Authorized Official

Name: PAUL M D'AMICO
Title or Position: VICE PRESIDENT
Credential:
Phone: 888-333-9152