Michael James Fain, HAS

Individual provider Active NPI Hearing Instrument Specialist · Sutherlin, OR

NPI 1194201822 · NPPES record last updated Jul 16, 2018

Key facts

NPI
1194201822
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
HAS-P-533729 (OR)
Practice address
301 W Central Ave
Sutherlin, OR 97479-8404
Phone
(541) 459-6111
Fax
(541) 459-6111
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HAS-P-533729ORMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
237700000X HAS-P-533729 OR Yes

Addresses

Primary practice location

301 W Central Ave
Sutherlin, OR 97479-8404

Mailing address

301 W Central Ave
Sutherlin, OR 97479-8404
Phone (541) 459-6111

Other providers in Sutherlin, OR

All providers in Sutherlin, OR · Hearing Instrument Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.