Organization
MODERNHEARINGAIDCENTERINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDMUND D WEST (PRESIDENT)
(205) 322-4272
Entity
Organization
Contact information
Practice address
1900 11TH AVE S, BIRMINGHAM, AL 35205-2618
(205) 322-4272
(205) 323-3228
Mailing address
1900 11TH AVE S, BIRMINGHAM, AL 35205-2618
(205) 322-4272
(205) 323-3228
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
4009
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052090
BLUECROSSBLUESHIELD
AL
01
—
7320427
AETNA
AL
Enumeration date
02/16/2007
Last updated
08/22/2020
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