Organization
BENCAL
Active
Other names
Miracle-Ear Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN JOHN NEIHEISEL HEARING AID DISPENSE (HEARING AID DISPENSER)
(559) 244-6060
Entity
Organization
Contact information
Practice address
7391 N PALM AVE, SUITE 104, FRESNO, CA 93711-5512
(559) 244-6060
(559) 244-6066
Mailing address
7391 N PALM AVE, SUITE 104, FRESNO, CA 93711-5512
(559) 244-6060
(559) 244-6066
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA6075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0039581
—
CA
01
—
ZZZ67409Z
BLUE SHIELD
CA
Enumeration date
04/03/2007
Last updated
02/27/2008
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