Healthcare Provider Details
I. General information
NPI: 1629547260
Provider Name (Legal Business Name): AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
104 5TH AVE N
EDMONDS WA
98020-3145
US
IV. Provider business mailing address
8941 S 700 E
SANDY UT
84070-2400
US
V. Phone/Fax
- Phone: 425-771-3886
- Fax:
- Phone: 732-688-6486
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AURALCARE HEARING CE
OF
AMERICA
Title or Position: VP
Credential:
Phone: 732-688-6486