Healthcare Provider Details

I. General information

NPI: 1508246869
Provider Name (Legal Business Name): SIKORSKI HEARING AID CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2015
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 NUNN AVE
RICE LAKE WI
54868-1041
US

IV. Provider business mailing address

802 NUNN AVE
RICE LAKE WI
54868-1041
US

V. Phone/Fax

Practice location:
  • Phone: 715-939-1296
  • Fax: 715-939-1298
Mailing address:
  • Phone: 715-939-1296
  • Fax: 715-939-1298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number1226-060
License Number StateWI

VIII. Authorized Official

Name: MS. SAMANTHA ELAINE SIKORSKI
Title or Position: OWNER
Credential: HIS ACA
Phone: 715-939-1296