Organization
NORTH RIDGE HEARING CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE WORRELL MS CCC SLP AAAF (AUDIOLOGIST)
(715) 381-3111
Entity
Organization
Contact information
Practice address
900 CREST VIEW DR STE 210, HUDSON, WI 54016-9517
(715) 381-3111
(715) 386-1760
Mailing address
1516 N RIDGE DR, HUDSON, WI 54016-1879
(715) 381-3111
(715) 386-1760
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
454156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N036203
STATE OF WI FILE NUMBER FOR BUSINESS REGISTRATION
WI
Enumeration date
06/11/2017
Last updated
06/11/2017
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