Provider Demographics
NPI:1609095322
Name:WOODLAND HEARING AID SERVICES INC
Entity Type:Organization
Organization Name:WOODLAND HEARING AID SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASIARZ
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTRUMENTS
Authorized Official - Phone:530-661-3080
Mailing Address - Street 1:1837 E GIBSON RD SUITE K
Mailing Address - Street 2:
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95776
Mailing Address - Country:US
Mailing Address - Phone:530-661-3080
Mailing Address - Fax:530-661-3383
Practice Address - Street 1:1837 E GIBSON RD SUITE K
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95776
Practice Address - Country:US
Practice Address - Phone:530-661-3080
Practice Address - Fax:530-661-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA4118174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty