Provider Demographics
NPI:1164980207
Name:COLORADO HEARING LTD.
Entity Type:Organization
Organization Name:COLORADO HEARING LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:970-989-9909
Mailing Address - Street 1:2731 COMMERCIAL WAY UNIT 3
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5700
Mailing Address - Country:US
Mailing Address - Phone:970-989-9909
Mailing Address - Fax:970-648-3034
Practice Address - Street 1:2731 COMMERCIAL WAY UNIT 3
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5700
Practice Address - Country:US
Practice Address - Phone:970-989-9909
Practice Address - Fax:970-648-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistGroup - Multi-Specialty
No2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology AssistantGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1649516931OtherNPPES
CO0000259OtherSTATE LICENSE