Individual
MR. TODD ELLIFRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS/BS
Contact information
Practice address
309 POLISH PINES LOOP, KEYSER, WV 26726-6702
(304) 413-0184
(304) 413-0185
Mailing address
309 POLISH PINES LOOP, KEYSER, WV 26726-6702
(304) 413-0184
(304) 413-0185
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
1026
WV
237700000X
Hearing Instrument Specialist
Primary
1026
WV
Other
Enumeration date
09/01/2021
Last updated
08/30/2024
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