Provider Demographics
NPI:1649727124
Name:A NEW HEARING SOLUTION
Entity type:Organization
Organization Name:A NEW HEARING SOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID FITTER DISPENSER #577WA
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-996-4214
Mailing Address - Street 1:151 NORTH MARKET BLVD
Mailing Address - Street 2:
Mailing Address - City:CHEAHLIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532
Mailing Address - Country:US
Mailing Address - Phone:360-996-4214
Mailing Address - Fax:360-996-4214
Practice Address - Street 1:151 N MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2677
Practice Address - Country:US
Practice Address - Phone:360-996-4214
Practice Address - Fax:360-996-4214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA577332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment