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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