Healthcare Provider Details

I. General information

NPI: 1386709061
Provider Name (Legal Business Name): HEARCARE RHODE ISLAND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2006
Last Update Date: 03/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 TOLL GATE RD SUITE 203
WARWICK RI
02886-4440
US

IV. Provider business mailing address

200 TOLL GATE RD SUITE 203
WARWICK RI
02886-4440
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-1760
  • Fax: 401-737-1740
Mailing address:
  • Phone: 401-737-1760
  • Fax: 401-737-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number000070
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number000070
License Number StateRI

VIII. Authorized Official

Name: MRS. LAURIE DUFFY
Title or Position: PRESIDENT
Credential: M.S.
Phone: 401-737-1760