| NPI | 1710146014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROGER FAGAN Owner 207-797-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: ME AP25) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ME AP1825) |
| 237700000X Hearing Instrument Specialist (Licence: ME DL20000383) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-06-03 |