Organization Name: | GREAT LAKES HEARING SERVICES INC |
NPI Number: | 1033366323 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN M LAI (OWNER) |
Mailing Address: | 2223 W State St Suite 102 Olean |
State: | NY US |
Postal Code: | 147601938 |
Phone Number: | 7163727205 |
Fax Number: | 7163724792 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |