Organization
ADVANTAGE HEARING, LLC
Active
Other names
Miracle-Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC WILLIAM HAAG (OWNER)
(801) 564-0608
Entity
Organization
Contact information
Practice address
1402 S PARKER RD, A106, DENVER, CO 80231-2758
(303) 755-1733
(303) 306-9340
Mailing address
1402 S PARKER RD, A106, DENVER, CO 80231-2758
(303) 755-1733
(303) 306-9340
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
200574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616411800
ACS PROVIDER NUMBER
CO
Enumeration date
05/31/2012
Last updated
05/31/2012
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