Provider Demographics
NPI:1033307566
Name:FERRITO, MICHAEL L (HEARINGAID DISPENSER)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:L
Last Name:FERRITO
Suffix:
Gender:M
Credentials:HEARINGAID DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 SCOTT BLVD
Mailing Address - Street 2:SUITE A-1
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050
Mailing Address - Country:US
Mailing Address - Phone:408-984-6061
Mailing Address - Fax:408-984-8012
Practice Address - Street 1:1150 SCOTT BLVD
Practice Address - Street 2:SUITE A-1
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4547
Practice Address - Country:US
Practice Address - Phone:408-984-6061
Practice Address - Fax:408-984-8012
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA 1098237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist