Provider Demographics
NPI:1164700076
Name:SOUND SOLUTIONS HEARING CENTERS OF MINNESOTA LLC.
Entity Type:Organization
Organization Name:SOUND SOLUTIONS HEARING CENTERS OF MINNESOTA LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-259-5841
Mailing Address - Street 1:4101 W DIVISION ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-3729
Mailing Address - Country:US
Mailing Address - Phone:320-259-5841
Mailing Address - Fax:320-259-5845
Practice Address - Street 1:4101 W DIVISION ST STE 4
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3729
Practice Address - Country:US
Practice Address - Phone:320-259-5841
Practice Address - Fax:320-259-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2642305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service