Healthcare Provider Details
I. General information
NPI: 1396118923
Provider Name (Legal Business Name): AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/04/2015
Last Update Date: 11/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 S MEADOWS PKWY SUITE 500
RENO NV
89521-3863
US
IV. Provider business mailing address
8941 S 700 E SUITE 204
SANDY UT
84070-2400
US
V. Phone/Fax
- Phone: 775-332-0388
- Fax:
- Phone: 801-849-8497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
LARSEN
Title or Position: CFO
Credential:
Phone: 801-849-8497