Healthcare Provider Details

I. General information

NPI: 1861610248
Provider Name (Legal Business Name): DIGITAL HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3112 NE 125TH ST
SEATTLE WA
98125-4515
US

IV. Provider business mailing address

3112 NE 125TH ST
SEATTLE WA
98125-4515
US

V. Phone/Fax

Practice location:
  • Phone: 206-365-5368
  • Fax: 206-365-5569
Mailing address:
  • Phone: 206-365-5368
  • Fax: 206-365-5569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA00000845
License Number StateWA

VIII. Authorized Official

Name: MIR JAFARINEJAD
Title or Position: OWNER
Credential:
Phone: 206-365-5368