Organization · Type 2 NPI
Tracie Edwards dba the Hearing Aid Shop
Customized Equipment (DME) · Bolivar, NY
NPI number
1972816197
Active
Practice location
7760 Route 417 W
Bolivar, NY 14715-9602
Fax (585) 928-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) | 332BC3200X | F03199 (PA) |
| Customized Equipment (DME) Primary | 332BC3200X | 15000016138 (NY) |
Customized Equipment (DME): Definition to come...
3 other providers at this address
About NPI 1972816197
Tracie Edwards dba the Hearing Aid Shop's National Provider Identifier is 1972816197, issued on Jul 16, 2010. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Bolivar, NY. The record was last updated on Jul 16, 2010.