Healthcare Provider Details
I. General information
NPI: 1811267958
Provider Name (Legal Business Name): GN HEARING CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
319 S RALEIGH ST
MARTINSBURG WV
25401-2638
US
IV. Provider business mailing address
2601 PATRIOT BLVD
GLENVIEW IL
60026-8023
US
V. Phone/Fax
- Phone: 304-267-4181
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332S00000X |
| Taxonomy | Hearing Aid Equipment |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
GIAMPAOLO
Title or Position: VP FINANCE
Credential:
Phone: 847-832-3690