Healthcare Provider Details

I. General information

NPI: 1700088218
Provider Name (Legal Business Name): HUSTON HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 W JOSEPH
SPOKANE WA
99205
US

IV. Provider business mailing address

6 W JOSEPH
SPOKANE WA
99205
US

V. Phone/Fax

Practice location:
  • Phone: 509-483-1221
  • Fax: 509-483-0647
Mailing address:
  • Phone: 509-483-1221
  • Fax: 509-483-0647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number432
License Number StateWA

VIII. Authorized Official

Name: MR. JOHN CLAIR BAKER
Title or Position: CERTIFIED HEARING INSTRUMENT SPECIA
Credential:
Phone: 509-483-1221