Organization Name: | CUSTOM HEARING LLC |
NPI Number: | 1053501965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES LYNN JEPHSON (CEO) |
Mailing Address: | 3285 South 5063 West West Valley |
State: | UT US |
Postal Code: | 84120 |
Phone Number: | 8019650250 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
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. |