Provider Demographics
NPI:1538207204
Name:REIERSON, DOUGLAS ADRIAN (HEARING AID SPEC)
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ADRIAN
Last Name:REIERSON
Suffix:
Gender:M
Credentials:HEARING AID SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7028
Mailing Address - Country:US
Mailing Address - Phone:605-226-3352
Mailing Address - Fax:605-226-5421
Practice Address - Street 1:1010 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-7028
Practice Address - Country:US
Practice Address - Phone:605-226-3352
Practice Address - Fax:605-226-5421
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD130235500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist