Basic Information
Provider Information
NPI: 1053656017
EntityType: 2
ReplacementNPI:  
OrganizationName: HUH INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: EARS 2 U HEARING AID SERVICES
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 EDGEWATER DR
Address2:  
City: PAGOSA SPRINGS
State: CO
PostalCode: 811479030
CountryCode: US
TelephoneNumber: 9707314554
FaxNumber: 9707311868
Practice Location
Address1: 2234 N WAHSATCH AVE
Address2:  
City: COLORADO SPRINGS
State: CO
PostalCode: 809076940
CountryCode: US
TelephoneNumber: 7196322376
FaxNumber: 9706325063
Other Information
ProviderEnumerationDate: 12/03/2012
LastUpdateDate: 12/03/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ERICKSON
AuthorizedOfficialFirstName: SCOTT
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRES/HEARING INSTRUMENT SPECIALIST
AuthorizedOfficialTelephone: 9707314554
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: BC-HIS
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X174COY193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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