Provider Demographics
NPI:1073156568
Name:NCD FINANCIAL, LLC
Entity Type:Organization
Organization Name:NCD FINANCIAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-855-0534
Mailing Address - Street 1:3911 N SCHREIBER WAY
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-8395
Mailing Address - Country:US
Mailing Address - Phone:208-690-3600
Mailing Address - Fax:703-880-7727
Practice Address - Street 1:3911 N SCHREIBER WAY
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-8395
Practice Address - Country:US
Practice Address - Phone:208-690-3600
Practice Address - Fax:703-880-7727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty