1750575171 NPI number — JASSR INC

Table of content: (NPI 1750575171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750575171 NPI number — JASSR INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JASSR INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SOUND INVESTMENT HEARING CENTERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750575171
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7776 E VIA SONRISA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85258-4124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-576-2988
Provider Business Mailing Address Fax Number:
480-391-9258

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9225 N 3RD ST STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85020-2466
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-576-2988
Provider Business Practice Location Address Fax Number:
480-391-9258
Provider Enumeration Date:
08/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
FRIEDMAN
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER/HEARING INSTRUMENT SPECIALIST
Authorized Official Telephone Number:
602-576-2988

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  1331 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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