Provider Demographics
NPI:1124468921
Name:STREETER, CHRISTOPHER B (LICENSED HEARING AID)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:STREETER
Suffix:
Gender:M
Credentials:LICENSED HEARING AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SANDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1807
Mailing Address - Country:US
Mailing Address - Phone:603-305-8226
Mailing Address - Fax:
Practice Address - Street 1:7 SANDSTONE DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1807
Practice Address - Country:US
Practice Address - Phone:603-305-8226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198237700000X
NHH547237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist