Provider Demographics
NPI:1336757129
Name:GUZA HEARING ENHANCEMENT INC
Entity type:Organization
Organization Name:GUZA HEARING ENHANCEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROD
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GUZA
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:507-829-9489
Mailing Address - Street 1:3856 170TH AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEOTA
Mailing Address - State:MN
Mailing Address - Zip Code:56264-1112
Mailing Address - Country:US
Mailing Address - Phone:507-829-9489
Mailing Address - Fax:507-532-7295
Practice Address - Street 1:800 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2573
Practice Address - Country:US
Practice Address - Phone:507-532-1024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty