Basic Information
Provider Information
NPI: 1194778597
EntityType: 2
ReplacementNPI:  
OrganizationName: SONUS-USA, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5000 CHESHIRE LN N
Address2:  
City: PLYMOUTH
State: MN
PostalCode: 554463706
CountryCode: US
TelephoneNumber: 8883339152
FaxNumber: 7632684240
Practice Location
Address1: 2630 E OAKLAND PARK BLVD
Address2:  
City: FORT LAUDERDALE
State: FL
PostalCode: 333061603
CountryCode: US
TelephoneNumber: 9545633355
FaxNumber: 9545615667
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 12/21/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: D'AMICO
AuthorizedOfficialFirstName: PAUL
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VICE PRESIDENT
AuthorizedOfficialTelephone: 8883339152
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: AMPLIFON, USA
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X  Y193200000X MULTI-SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 

No ID Information.


Home