Organization
ELK GROVE HEARING CLINIC, INC.
Active
Organization
ELK GROVE HEARING CLINIC, INC.
Active
Other names
Elk Grove Hearing Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY WHITE AU.D. (AUDIOLOGIST)
(916) 627-1494
Entity
Organization
Contact information
Practice address
9300 W STOCKTON BLVD STE 103, ELK GROVE, CA 95758-8070
(916) 627-1494
Mailing address
9300 W STOCKTON BLVD STE 103, ELK GROVE, CA 95758-8070
(916) 627-1494
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU2591
CA
237700000X
Hearing Instrument Specialist
HA7877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295154326
—
CA
05
—
1881844298
—
CA
Enumeration date
05/11/2018
Last updated
05/11/2018
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