Brenda M Haugen, LICENSED SPECIALIST
Individual provider Active NPI Hearing Aid Equipment · Grand Forks, ND
NPI 1700933009 · NPPES record last updated Mar 25, 2010
Key facts
- NPI
- 1700933009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Aid Equipment 332S00000X
- License
- 2212 (MN)
- Practice address
- 2812 17TH Ave S Ste E
Grand Forks, ND 58201-4048 - Phone
- (701) 746-8421
- Fax
- (701) 746-4719
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2212 | MN | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Aid Equipment | 332S00000X | 2212 | MN | Yes |
Addresses
Primary practice location
2812 17TH Ave S Ste E
Grand Forks, ND 58201-4048
Mailing address
2812 17TH Ave S Ste E
Grand Forks, ND 58201-4048
Phone (701) 746-8421
Other providers in Grand Forks, ND
- Pejcharat Jane Harvey
- Anne Michele Haskins
- Jonathan S Haug
- Kimberly J Haug
- Stephanie Marie Hauge
- Erin Nicole Jackson Haugen
- Jennifer Marie Haugen
- Jessica Haugen
- Brandon Haugrud
- Amanda Havelange
All providers in Grand Forks, ND · Hearing Aid Equipment in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2010. 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.