Provider Demographics
NPI:1821274085
Name:MN HEARING AID CENTER LTD
Entity Type:Organization
Organization Name:MN HEARING AID CENTER LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CERTIFIED HEARING INSTRUMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:MYROLD
Authorized Official - Suffix:
Authorized Official - Credentials:BC
Authorized Official - Phone:218-233-1116
Mailing Address - Street 1:725 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:MOORHEAD
Mailing Address - State:MN
Mailing Address - Zip Code:56560-1958
Mailing Address - Country:US
Mailing Address - Phone:218-233-1116
Mailing Address - Fax:218-233-0101
Practice Address - Street 1:725 CENTER AVE
Practice Address - Street 2:
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-1958
Practice Address - Country:US
Practice Address - Phone:218-233-1116
Practice Address - Fax:218-233-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty