Healthcare Provider Details

I. General information

NPI: 1306046339
Provider Name (Legal Business Name): ARNOLD HEARING AID COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1838 UNION AVENUE
MEMPHIS TN
38104-3941
US

IV. Provider business mailing address

1838 UNION AVENUE
MEMPHIS TN
38104-3941
US

V. Phone/Fax

Practice location:
  • Phone: 901-726-0044
  • Fax: 901-726-0858
Mailing address:
  • Phone: 901-726-0044
  • Fax: 901-726-0858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number001
License Number StateTN

VIII. Authorized Official

Name: MR. MARTIN L FORTNER
Title or Position: PRESIDENT
Credential: LICENSED HEARING AID
Phone: 901-726-0044