Healthcare Provider Details

I. General information

NPI: 1093981797
Provider Name (Legal Business Name): WISCONSIN HEARING AIDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 MENDOTA ST #113
MADISON WI
53714-1092
US

IV. Provider business mailing address

1310 MENDOTA ST #113
MADISON WI
53714-1092
US

V. Phone/Fax

Practice location:
  • Phone: 608-244-1221
  • Fax: 608-244-3050
Mailing address:
  • Phone: 608-244-1221
  • Fax: 608-244-3050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number104
License Number StateWI

VIII. Authorized Official

Name: MR. THOMAS DUDLEY PIPPIN
Title or Position: HEARING INSTRUMENT SPECIALIST
Credential: BCHIS
Phone: 608-244-1221