Charles L Anderson, BC-HIS
Individual provider Active NPI Hearing Instrument Specialist · Fairmont, MN
NPI 1437257540 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437257540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 2080 (MN)
- Practice address
- 230 S Grant St
Fairmont, MN 56031-3936 - Phone
- (507) 235-5323
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00487 | IA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Centers, P.C. | Hearing Instrument Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2080 | MN | Yes |
| Hearing Instrument Specialist | 237700000X | 00487 | IA |
Addresses
Primary practice location
230 S Grant St
Fairmont, MN 56031-3936
Mailing address
230 S Grant St
Fairmont, MN 56031-3936
Phone (507) 235-5323
Other providers in Fairmont, MN
- Align Chiropractic & Wellness PLC
- Erika M Amundson
- Mark Anderson
- Joseph Robert Angstman
- Apple Tree Dental
- Tieryn Arens
- Robin Arndorfer
All providers in Fairmont, MN · Hearing Instrument Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.