Basic Information
Provider Information
NPI: 1861662249
EntityType: 2
ReplacementNPI:  
OrganizationName: HUH INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: EARS 2U HEARING AID SERVICES
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 EDGEWATER DRIVE
Address2:  
City: PAGOSA SPRINGS
State: CO
PostalCode: 81147
CountryCode: US
TelephoneNumber: 9707314554
FaxNumber: 9707311868
Practice Location
Address1: 121 JUSTICE CENTER RD STE D
Address2:  
City: CANON CITY
State: CO
PostalCode: 81212
CountryCode: US
TelephoneNumber: 7192761082
FaxNumber: 7192769497
Other Information
ProviderEnumerationDate: 03/03/2008
LastUpdateDate: 12/22/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: ERICKSON
AuthorizedOfficialFirstName: GENNETTE
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: SECRETARY FOR HUH INC.
AuthorizedOfficialTelephone: 9707314554
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HUH INC
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000X212CON193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist 
237700000X  N193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist 
237700000X174COY193400000X MULTIPLE SINGLE SPECIALTY GROUPSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


Home