Provider Demographics
NPI:1407190457
Name:EXPRESSCO INC
Entity Type:Organization
Organization Name:EXPRESSCO INC
Other - Org Name:ADVANCED DIGITAL HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-946-3322
Mailing Address - Street 1:710 GEORGE WASHINGTON WAY
Mailing Address - Street 2:STE C
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4254
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:710 GEORGE WASHINGTON WAY
Practice Address - Street 2:STE C
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4254
Practice Address - Country:US
Practice Address - Phone:509-946-3322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty