Organization
NORTHLAND HEARING CENTERS, INC.
Active
Other names
Center for Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LONGTAIN (PRESIDENT)
(702) 798-0113
Entity
Organization
Contact information
Practice address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(952) 947-4700
(952) 828-6946
Mailing address
1001 E SUNSET RD, UNIT 96595, LAS VEGAS, NV 89193-1246
(702) 798-0113
(866) 291-5242
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
10/11/2011
Last updated
09/16/2015
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