Organization Name: | ZUDAC ENTERPRISE |
NPI Number: | 1003216425 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT JAMES BREAULT (HEARING INSTRUMENT DISPENSER) |
Mailing Address: | 1310 Highway 96 E 204c White Bear Lake |
State: | MN US |
Postal Code: | 551103624 |
Phone Number: | 6514296072 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 1404 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |