Organization Name: | MARY DUVAL HEARING AID CENTER |
NPI Number: | 1659650448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY HELEN DUVAL (OWNER) |
Mailing Address: | 1220 E. 37th Street Davenport |
State: | IA US |
Postal Code: | 528071901 |
Phone Number: | 5633862986 |
Fax Number: | 5633862991 |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 08/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |