Provider Demographics
NPI:1891847927
Name:BRIAN J EISERMANN
Entity Type:Organization
Organization Name:BRIAN J EISERMANN
Other - Org Name:DIGITAL HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING AID DISPENSER OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:EISERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:HA 2971
Authorized Official - Phone:530-877-3808
Mailing Address - Street 1:6032 CLARK RD.
Mailing Address - Street 2:SUITE C
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969
Mailing Address - Country:US
Mailing Address - Phone:530-877-3808
Mailing Address - Fax:530-877-5764
Practice Address - Street 1:6032 CLARK RD
Practice Address - Street 2:SUITE C
Practice Address - City:PARADISE
Practice Address - State:CA
Practice Address - Zip Code:95969
Practice Address - Country:US
Practice Address - Phone:530-877-3808
Practice Address - Fax:530-877-5764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2971332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment