Healthcare Provider Details

I. General information

NPI: 1174730683
Provider Name (Legal Business Name): ADVANCED HEARING AID CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 W 3RD AVE SUITE 104
SPOKANE WA
99201-4500
US

IV. Provider business mailing address

933 W 3RD AVE SUITE 104
SPOKANE WA
99201-4522
US

V. Phone/Fax

Practice location:
  • Phone: 509-835-3999
  • Fax: 509-835-3998
Mailing address:
  • Phone: 509-835-3999
  • Fax: 509-835-3998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHA619
License Number StateWA

VIII. Authorized Official

Name: MR. JOHN GIMBEL
Title or Position: AUDIOLOGIST
Credential: MS, CCC-A
Phone: 509-835-3999