Healthcare Provider Details
I. General information
NPI: 1659495778
Provider Name (Legal Business Name): NU-SOUND HEARING LABS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2007
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2501 W MEMORIAL ROAD SUITE 259A
OKLAHOMA CITY OK
73134
US
IV. Provider business mailing address
2501 W MEMORIAL ROAD SUITE 259A
OKLAHOMA CITY OK
73134
US
V. Phone/Fax
- Phone: 405-755-6557
- Fax:
- Phone: 405-755-6557
- Fax: 405-755-6577
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
WILLIAM
BRYAN
RIES
JR.
Title or Position: STATE MANAGER
Credential:
Phone: 405-755-6557