Provider Demographics
NPI:1356781470
Name:ROLANDSON HEARING AID CENTER
Entity type:Organization
Organization Name:ROLANDSON HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ROLANDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-736-5925
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:BATTLE LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56515-0543
Mailing Address - Country:US
Mailing Address - Phone:218-736-5925
Mailing Address - Fax:
Practice Address - Street 1:108 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-2123
Practice Address - Country:US
Practice Address - Phone:218-736-5925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2230332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment