Healthcare Provider Details

I. General information

NPI: 1699185074
Provider Name (Legal Business Name): DANIEL JOSEPH HEWSON HAD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2014
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ROPER CORNERS CIR STE B
GREENVILLE SC
29615-4889
US

IV. Provider business mailing address

6319 W HONEYSUCKLE DR
PHOENIX AZ
85083-1824
US

V. Phone/Fax

Practice location:
  • Phone: 864-999-0261
  • Fax: 864-568-3241
Mailing address:
  • Phone: 281-667-6545
  • Fax: 512-858-2714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD5934
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAS-0776
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: