Organization
MICKEN HEARING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE MICKEN AU.D. (PRESIDENT)
(406) 586-0914
Entity
Organization
Contact information
Practice address
1008 N 7TH AVE, BOZEMAN, MT 59715-2567
(406) 586-0914
Mailing address
1008 N 7TH AVE, BOZEMAN, MT 59715-2567
(406) 586-0914
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
5
MT
237600000X
Audiologist-Hearing Aid Fitter
734
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533273
—
MT
05
—
0535444
—
MT
05
—
0569439
—
MT
01
—
29138
ALLIED PROVIDER
MT
01
—
29478
ALLIED PROVIDER
MT
05
—
5602792
—
MT
01
—
640001432
RAILROAD MEDICARE
MT
Enumeration date
02/10/2006
Last updated
11/02/2009
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