Healthcare Provider Details
I. General information
NPI: 1528011186
Provider Name (Legal Business Name): HR HEARING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2006
Last Update Date: 04/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1692 COMMERCE CT
RIVER FALLS WI
54022-3242
US
IV. Provider business mailing address
207 PLUM ST STE 150
RED WING MN
55066-2328
US
V. Phone/Fax
- Phone: 715-425-7905
- Fax: 715-425-8016
- Phone: 651-388-2670
- Fax: 651-388-9471
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
HUMMEL
Title or Position: OWNER
Credential:
Phone: 651-388-2670