Organization
HEARING AID INSTITUTE OF KALISPELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE R VAN DE RIET HAD (OWNER)
(406) 755-1945
Entity
Organization
Contact information
Practice address
1305 1ST AVE E, KALISPELL, MT 59901-5801
(406) 755-1945
(406) 341-4528
Mailing address
1305 1ST AVE E, KALISPELL, MT 59901-5801
(406) 755-1945
(406) 314-4528
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
235
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235
HEARING AID DISPENSER
MT
Enumeration date
08/08/2016
Last updated
08/08/2016
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