Provider Demographics
NPI: | 1043480429 |
---|---|
Name: | HUH INC |
Entity type: | Organization |
Organization Name: | HUH INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | SECRETARY |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GENNETTE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ERICKSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 970-731-4554 |
Mailing Address - Street 1: | 7 EDGEWATER DR |
Mailing Address - Street 2: | |
Mailing Address - City: | PAGOSA SPRINGS |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 81147-9030 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 970-731-4554 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1000 W 6TH ST STE H |
Practice Address - Street 2: | |
Practice Address - City: | PUEBLO |
Practice Address - State: | CO |
Practice Address - Zip Code: | 81003-2389 |
Practice Address - Country: | US |
Practice Address - Phone: | 719-543-2116 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | HUH INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2008-03-03 |
Last Update Date: | 2013-07-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | 174 | 237700000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237700000X | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | Group - Single Specialty |