Provider Demographics
NPI:1629342837
Name:AMDAHL HEARING , INC.
Entity Type:Organization
Organization Name:AMDAHL HEARING , INC.
Other - Org Name:AMDAHL HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-759-1764
Mailing Address - Street 1:606 3RD AVE W
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-1325
Mailing Address - Country:US
Mailing Address - Phone:320-759-1764
Mailing Address - Fax:320-684-4899
Practice Address - Street 1:606 3RD AVE W
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1325
Practice Address - Country:US
Practice Address - Phone:320-759-1764
Practice Address - Fax:320-684-4899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech