Provider Demographics
NPI:1700088218
Name:HUSTON HEARING CARE
Entity Type:Organization
Organization Name:HUSTON HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED HEARING INSTRUMENT SPECIA
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CLAIR
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-483-1221
Mailing Address - Street 1:6 W JOSEPH
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205
Mailing Address - Country:US
Mailing Address - Phone:509-483-1221
Mailing Address - Fax:509-483-0647
Practice Address - Street 1:6 W JOSEPH
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205
Practice Address - Country:US
Practice Address - Phone:509-483-1221
Practice Address - Fax:509-483-0647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA432237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9049420Medicaid