Organization
LOGAN AUDIOLOGY & HEARING AID CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON N MULLINS MA (PRESIDENT)
(304) 752-6018
Entity
Organization
Contact information
Practice address
301 STRATTON STREET, LOGAN, WV 25601-3511
(304) 752-6018
(304) 752-4805
Mailing address
301 STRATTON STREET, LOGAN, WV 25601-3511
(304) 752-6018
(304) 752-4805
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
WVA005
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160758000
—
WV
Enumeration date
11/22/2006
Last updated
07/08/2008
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