Healthcare Provider Details

I. General information

NPI: 1861662876
Provider Name (Legal Business Name): WELSCH HEARING AID COMPANY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2008
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 S MEMORIAL PL
SHEBOYGAN WI
53081-3715
US

IV. Provider business mailing address

2223 S MEMORIAL PL
SHEBOYGAN WI
53081-3715
US

V. Phone/Fax

Practice location:
  • Phone: 920-452-0213
  • Fax: 920-208-4301
Mailing address:
  • Phone: 920-452-0213
  • Fax: 920-208-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateWI

VIII. Authorized Official

Name: SUSAN L FENRICH
Title or Position: PRESIDENT/OWNER
Credential: BC-HIS
Phone: 920-452-0213