Healthcare Provider Details

I. General information

NPI: 1033497037
Provider Name (Legal Business Name): FICK HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2011
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 WESTVIEW DR
WYOMISSING PA
19610-1187
US

IV. Provider business mailing address

2650 WESTVIEW DR
WYOMISSING PA
19610-1187
US

V. Phone/Fax

Practice location:
  • Phone: 610-375-3100
  • Fax: 610-375-3600
Mailing address:
  • Phone: 610-375-3100
  • Fax: 610-375-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberF02515
License Number StatePA

VIII. Authorized Official

Name: MR. PETER JUDE FICK
Title or Position: OWNER
Credential:
Phone: 610-375-3100