Provider Demographics
NPI:1518148410
Name:AUDIOLOGY AND HEARING INSTRUMENTS OF NH
Entity Type:Organization
Organization Name:AUDIOLOGY AND HEARING INSTRUMENTS OF NH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CIELICZKA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:603-224-3346
Mailing Address - Street 1:66 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3948
Mailing Address - Country:US
Mailing Address - Phone:603-224-3346
Mailing Address - Fax:603-224-2149
Practice Address - Street 1:66 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3948
Practice Address - Country:US
Practice Address - Phone:603-224-3346
Practice Address - Fax:603-224-2149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA12261QH0700X
NH261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH8805Medicare PIN