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NPI Code Detail

MEDICARE: PHYSICIANS HEARING AID CENTER INC.

MEDICARE: PHYSICIANS HEARING AID CENTER INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BC3200XCustomized Equipment (DME)SRYGHD097689968CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376637272
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS HEARING AID CENTER INC.
Provider Business Mailing Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-462-8262
Provider Business Practice Location Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-462-8262
Authorized Official
Title or Position : PRESIDENT
Name : DR. DANIEL A SPILMAN
Credential : MD
Telephone Number : 831-462-8260
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/07/2022

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1700986858 — JACK R WATSON MD
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1104985613 — DR. KEN EDWARD NORTON AU.D.
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Directions to “PHYSICIANS HEARING AID CENTER INC. ” Practice Location

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