Provider Demographics
NPI:1831222314
Name:HEARING ASSOCIATES DBA SANDIA HEARING AIDS
Entity type:Organization
Organization Name:HEARING ASSOCIATES DBA SANDIA HEARING AIDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-326-2791
Mailing Address - Street 1:4001 N BUTLER AVE STE 5101
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-2392
Mailing Address - Country:US
Mailing Address - Phone:505-326-2791
Mailing Address - Fax:505-564-2811
Practice Address - Street 1:4001 N BUTLER AVE STE 5101
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-2392
Practice Address - Country:US
Practice Address - Phone:505-326-2791
Practice Address - Fax:505-564-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0702237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty