1184862591 NPI number — ASTRUM HEARING SOLUTIONS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184862591 NPI number — ASTRUM HEARING SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASTRUM HEARING SOLUTIONS LLC
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:
Provider Other Organization Name Type Code:
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:
1184862591
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10500 UNIVERSITY CENTER DR.
Provider Second Line Business Mailing Address:
275
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-988-5403
Provider Business Mailing Address Fax Number:
813-987-2496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10500 UNIVERSITY CENTER DR
Provider Second Line Business Practice Location Address:
275
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33612-6494
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-988-5403
Provider Business Practice Location Address Fax Number:
813-987-2496
Provider Enumeration Date:
01/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
STEPHENS
Authorized Official First Name:
PETE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
813-988-5403

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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