Provider Demographics
NPI:1164651840
Name:R & L HEARING CARE INC.
Entity Type:Organization
Organization Name:R & L HEARING CARE INC.
Other - Org Name:NORTHSTAR HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:RUTFORD
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:218-724-3477
Mailing Address - Street 1:203 N 8TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-3254
Mailing Address - Country:US
Mailing Address - Phone:218-724-3477
Mailing Address - Fax:
Practice Address - Street 1:607 COUNTY ROAD 10 NE
Practice Address - Street 2:SUITE 101
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-2373
Practice Address - Country:US
Practice Address - Phone:763-783-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2664237700000X
MN2609237700000X
WI1284-060237700000X
MN2030237700000X
MN2689237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty