1912150954 NPI number — QUIET CORNER HEARING AIDS

Table of content: (NPI 1912150954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912150954 NPI number — QUIET CORNER HEARING AIDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUIET CORNER HEARING AIDS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912150954
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
475 PLEASANT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WORCESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01609-1858
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-791-6305
Provider Business Mailing Address Fax Number:
508-791-6309

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 POMFRET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUTNAM
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06260-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-928-7330
Provider Business Practice Location Address Fax Number:
860-928-1907
Provider Enumeration Date:
11/03/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHARON
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
CHARLES
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
508-791-6305

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  237 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2400X , with the licence number: 197 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 231HA2400X , with the licence number: 237 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2500X , with the licence number: 197 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 231HA2500X , with the licence number: 237 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 237600000X , with the licence number: 197 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)