| NPI | 1881722981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A FOSS Owner 308-384-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 231H00000X Audiologist (Licence: NE 64) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: NE 020) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-06-29 |