Provider Demographics
NPI:1063097970
Name:NORWALK HEARING AID CENTRE
Entity type:Organization
Organization Name:NORWALK HEARING AID CENTRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-853-8377
Mailing Address - Street 1:81A BEACON ST
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5924
Mailing Address - Country:US
Mailing Address - Phone:203-853-8377
Mailing Address - Fax:
Practice Address - Street 1:166 NORTH ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1118
Practice Address - Country:US
Practice Address - Phone:203-324-5219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004014635Medicaid