Provider Demographics
NPI:1871936443
Name:BUDGET HEARING AID CENTERS, LTD
Entity type:Organization
Organization Name:BUDGET HEARING AID CENTERS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:THULIN
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:612-867-5214
Mailing Address - Street 1:1057 PROVENCE LN
Mailing Address - Street 2:
Mailing Address - City:WACONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55387-4553
Mailing Address - Country:US
Mailing Address - Phone:612-867-5214
Mailing Address - Fax:952-241-9202
Practice Address - Street 1:1057 PROVENCE LN
Practice Address - Street 2:
Practice Address - City:WACONIA
Practice Address - State:MN
Practice Address - Zip Code:55387-4553
Practice Address - Country:US
Practice Address - Phone:612-867-5214
Practice Address - Fax:952-241-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2665237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1477788388OtherNPI