Provider Demographics
NPI:1053863704
Name:HI-TECH HEARING
Entity type:Organization
Organization Name:HI-TECH HEARING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:AAS, HIS
Authorized Official - Phone:888-314-3739
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:BLACK HAWK
Mailing Address - State:CO
Mailing Address - Zip Code:80422-0202
Mailing Address - Country:US
Mailing Address - Phone:888-314-3739
Mailing Address - Fax:307-215-7474
Practice Address - Street 1:420 GREGORY STREET
Practice Address - Street 2:
Practice Address - City:BLACK HAWK
Practice Address - State:CO
Practice Address - Zip Code:80422
Practice Address - Country:US
Practice Address - Phone:888-314-3739
Practice Address - Fax:307-215-7474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHAD0000300237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty