Healthcare Provider Details

I. General information

NPI: 1013018183
Provider Name (Legal Business Name): ABERDEEN HEARING CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 6TH AVE SE STE #1
ABERDEEN SD
57401-5190
US

IV. Provider business mailing address

2220 6TH AVE SE STE #1
ABERDEEN SD
57401-5190
US

V. Phone/Fax

Practice location:
  • Phone: 605-725-4327
  • Fax: 605-725-4328
Mailing address:
  • Phone: 605-725-4327
  • Fax: 605-725-4328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number327A
License Number StateSD

VIII. Authorized Official

Name: MS. REBECCA JEAN RICH
Title or Position: OWNER/ AUDIOLOGIST
Credential: AUD
Phone: 605-725-4327