NPI 1710146014 · live from the CMS NPI Registry
Audiology & Hearing Aid Services
Audiologist-Hearing Aid Fitter in Portland, ME. National Provider Identifier 1710146014, active.
NPI record
| NPI | 1710146014 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist-Hearing Aid Fitter 237600000X |
| Practice location | 985 Forest Ave, Portland, ME 04103 |
| Practice phone | 207-797-8738 |
| Enumerated | June 3, 2008 |
| Last updated | June 3, 2008 |
| Authorized official | James Fagan, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AP1825 (ME) |
| Hearing Instrument Specialist | 237700000X | DL20000383 (ME) |
| Audiologist-Hearing Aid Fitter primary | 237600000X | AP25 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.