Provider Demographics
NPI:1962839811
Name:DRG MYRIAD SOLUTIONS INC
Entity Type:Organization
Organization Name:DRG MYRIAD SOLUTIONS INC
Other - Org Name:THE HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-878-5158
Mailing Address - Street 1:11899 EDGEWOOD RD
Mailing Address - Street 2:STE B
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-3437
Mailing Address - Country:US
Mailing Address - Phone:530-878-5158
Mailing Address - Fax:530-878-5159
Practice Address - Street 1:11899 EDGEWOOD RD
Practice Address - Street 2:STE B
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-3437
Practice Address - Country:US
Practice Address - Phone:530-878-5158
Practice Address - Fax:530-878-5159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty