Organization Name: | ROSALIE FRERICHS |
NPI Number: | 1649562497 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROSALIE A FRERICHS (OWNER) |
Mailing Address: | 1101 W B St Mc Cook |
State: | NE US |
Postal Code: | 690013566 |
Phone Number: | 3083451640 |
Fax Number: | 3083457842 |
NPI Enumeration Date: | 05/12/2011 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | NE443 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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. |