Organization
PROFESSIONAL HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP LLOYD PUTNAM (OWNER)
(530) 222-1330
Entity
Organization
Contact information
Practice address
1109 HARTNELL AVE STE 4, REDDING, CA 96002-2257
(530) 222-1330
(530) 223-4406
Mailing address
1109 HARTNELL AVE STE 4, REDDING, CA 96002-2257
(530) 222-1330
(530) 223-4406
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
CA 1121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ82852Z
—
CA
Enumeration date
02/13/2007
Last updated
08/22/2020
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