Organization Name: | BLUE RIDGE HEARING GROUP |
NPI Number: | 1417355090 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY TODD HARVEY (MANAGING MEMBER) |
Mailing Address: | 12925 Booker T Washington Hwy Ste.202 Hardy |
State: | VA US |
Postal Code: | 241013971 |
Phone Number: | 5404445659 |
Fax Number: | 5403011167 |
NPI Enumeration Date: | 12/12/2014 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 2101001696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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. |