Provider Demographics
NPI:1144413279
Name:ROBERT I WILLIAMS HEARING AIDS LLC
Entity Type:Organization
Organization Name:ROBERT I WILLIAMS HEARING AIDS LLC
Other - Org Name:THE HEARING AID SHOP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INST SPEC
Authorized Official - Phone:603-569-2799
Mailing Address - Street 1:PO BOX 875
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-0875
Mailing Address - Country:US
Mailing Address - Phone:603-569-2799
Mailing Address - Fax:603-569-1815
Practice Address - Street 1:22 GLENDON ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4481
Practice Address - Country:US
Practice Address - Phone:603-569-2799
Practice Address - Fax:603-569-1815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH501237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty