| NPI | 1215069372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CARL LOLAN Ma Faaa 937-299-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: OH A00106) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: OH A00106) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-03-14 |