1205279197 NPI number — HEARING AIDS FOR YOU, INC.

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 1205279197 NPI number — HEARING AIDS FOR YOU, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING AIDS FOR YOU, 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:
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:
1205279197
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
107 KILSON DR.
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
MOORESVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-663-0223
Provider Business Mailing Address Fax Number:
704-663-0226

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
107 KILSON DR.
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
MOORESVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-663-0223
Provider Business Practice Location Address Fax Number:
704-663-0226
Provider Enumeration Date:
04/10/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GATES
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
ELLA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
704-663-0223

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  893 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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