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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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