Organization
EVERCLEAR HEARING PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE DIANE ROGSTAD H.I.S. (OWNER/MANAGER)
(715) 831-0289
Entity
Organization
Contact information
Practice address
2215 E CLAIREMONT AVE, SUITE 2, EAU CLAIRE, WI 54701-4772
(715) 831-0289
(715) 831-4722
Mailing address
2215 E CLAIREMONT AVE, SUITE 2, EAU CLAIRE, WI 54701-4772
(715) 831-0289
(715) 831-4722
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
30-156
WI
237700000X
Hearing Instrument Specialist
Primary
1285-60
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42839500
—
WI
Enumeration date
05/15/2015
Last updated
08/24/2021
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