Basic Information
| Provider Information | |||||||||
| NPI: | 1164596060 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUH INC DBA PUEBLO HEARING AID SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7 EDGEWATER DR | ||||||||
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| City: | PAGOSA SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 811479030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9707314554 | ||||||||
| FaxNumber: | 9707311868 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 W 6TH ST STE H | ||||||||
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| City: | PUEBLO | ||||||||
| State: | CO | ||||||||
| PostalCode: | 810032389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195432116 | ||||||||
| FaxNumber: | 7195432216 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SHEPARD | ||||||||
| AuthorizedOfficialFirstName: | BRANDI | ||||||||
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| AuthorizedOfficialTitleorPosition: | AUDIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 7195432116 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.S., CCC-A, FAAA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 424 | CO | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.