Provider Demographics
NPI:1124363528
Name:YAVAPAI HEARING AID CENTER
Entity type:Organization
Organization Name:YAVAPAI HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PRINZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-445-7710
Mailing Address - Street 1:8560 HIGHWAY 69 #A
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314
Mailing Address - Country:US
Mailing Address - Phone:928-445-7710
Mailing Address - Fax:928-445-7715
Practice Address - Street 1:8560 HIGHWAY 69 #A
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314
Practice Address - Country:US
Practice Address - Phone:928-445-7710
Practice Address - Fax:928-445-7715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ332S00000X332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment