Healthcare Provider Details

I. General information

NPI: 1760327753
Provider Name (Legal Business Name): CARLY HEWITT HIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 DAKOTA AVE S STE 1
HURON SD
57350-3675
US

IV. Provider business mailing address

1288 DAKOTA AVE S STE 1
HURON SD
57350-3675
US

V. Phone/Fax

Practice location:
  • Phone: 605-352-1585
  • Fax: 605-352-9046
Mailing address:
  • Phone: 605-352-1585
  • Fax: 605-352-9046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: CARLY HEWITT
Title or Position: OWNER
Credential: HAD
Phone: 605-352-1585