Organization
ADVANCE HEARING AID CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SYNTHIA ANN POTUZNIK HEARING INSTR SPEC (OWNER HEARING INSTRUMENT SPECIALIST)
(608) 362-2669
Entity
Organization
Contact information
Practice address
1327 TOWNLINE AVE, BELOIT, WI 53511-4168
(608) 362-2669
(608) 362-2669
Mailing address
1327 TOWNLINE AVE, BELOIT, WI 53511-4168
(608) 362-2669
(608) 362-2669
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
86460
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174882245
INDIVIDUAL NAME NPI NUMBER ASSIGNED
WI
01
—
864 60
CERTIFIED HEARING INSTRUMENT SPECIALIST
WI
Enumeration date
07/22/2015
Last updated
07/22/2015
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