Healthcare Provider Details
I. General information
NPI: 1568997682
Provider Name (Legal Business Name): USA IN HOME HEARING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2017
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3624 COLBY AVE SUITE B
EVERETT WA
98201
US
IV. Provider business mailing address
3624 COLBY AVE SUITE B
EVERETT WA
98201
US
V. Phone/Fax
- Phone: 425-378-6586
- Fax: 360-676-5313
- Phone: 425-378-6586
- Fax: 360-676-5313
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | HA00004779 |
| License Number State | WA |
VIII. Authorized Official
Name:
ANN
PLOTNICK
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 425-378-6586