Provider Demographics
NPI:1861610248
Name:DIGITAL HEARING AID CENTER
Entity type:Organization
Organization Name:DIGITAL HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIR
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFARINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-365-5368
Mailing Address - Street 1:3112 NE 125TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4515
Mailing Address - Country:US
Mailing Address - Phone:206-365-5368
Mailing Address - Fax:206-365-5569
Practice Address - Street 1:3112 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4515
Practice Address - Country:US
Practice Address - Phone:206-365-5368
Practice Address - Fax:206-365-5569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA00000845332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA=========OtherHEARING AID CENTER