Provider Demographics
NPI:1700017993
Name:ACCUQUEST HEARING CORPORATION
Entity Type:Organization
Organization Name:ACCUQUEST HEARING CORPORATION
Other - Org Name:ACCUQUEST HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PACOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:507-386-1025
Mailing Address - Street 1:99 NAVAHO AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-4877
Mailing Address - Country:US
Mailing Address - Phone:507-386-1025
Mailing Address - Fax:507-386-1027
Practice Address - Street 1:99 NAVAHO AVE STE 103
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-4877
Practice Address - Country:US
Practice Address - Phone:507-386-1025
Practice Address - Fax:507-386-1027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACCUQUEST HEARING CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5960332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment