Organization
BERTHA WHITNEY
Active
Organization
BERTHA WHITNEY
Active
Other names
Miracle Ear Center
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHA ELDER WHITNEY HEARING CONSULTANT (OWNER CONSULTANT)
(208) 746-8547
Entity
Organization
Contact information
Practice address
1927 IDAHO STREET, LEWISTON, ID 83501-2563
(208) 746-8547
(208) 746-5579
Mailing address
9751 N GOVT WAY STE 6, HAYDEN, ID 83835-9645
(208) 746-8547
(208) 746-5579
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
H197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014644
BLUE SHIELD
ID
05
—
002656800
—
ID
01
—
123516
LABOR INDUSTRIES
WA
05
—
9040924
—
WA
01
—
AU720
BLUE CROSS
ID
01
—
AU738
BLUE CROSS
ID
Enumeration date
11/06/2006
Last updated
07/15/2008
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