Healthcare Provider Details

I. General information

NPI: 1184887804
Provider Name (Legal Business Name): DAKOTA HEARING INSTRUMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 MAIN ST
LAKE ANDES SD
57356
US

IV. Provider business mailing address

340 MAIN ST
LAKE ANDES SD
57356
US

V. Phone/Fax

Practice location:
  • Phone: 605-487-7661
  • Fax: 605-996-3644
Mailing address:
  • Phone: 605-487-7661
  • Fax: 605-996-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number286
License Number StateSD

VIII. Authorized Official

Name: MS. MONICA DAWN STRAIT
Title or Position: OWNER
Credential:
Phone: 605-487-7661