1750408100 NPI number — AUDIOLOGY & HEARING CARE, LLC

Table of content: (NPI 1750408100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750408100 NPI number — AUDIOLOGY & HEARING CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AUDIOLOGY & HEARING CARE, 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:
1750408100
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/27/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8818 CENTRE PARK DRIVE
Provider Second Line Business Mailing Address:
SUITE 107
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-740-4885
Provider Business Mailing Address Fax Number:
410-740-4677

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8818 CENTRE PARK DRIVE
Provider Second Line Business Practice Location Address:
SUITE 107
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21045
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-740-4885
Provider Business Practice Location Address Fax Number:
410-740-4677
Provider Enumeration Date:
03/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KAPLAN
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-740-4885

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 179842 . This is a "MEDICARE GROUP NUMBER DC METRO AREA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: 1750408100 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: DD0360 . This is a "RAILROAD MEDICARE GROUP NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: E294 . This is a "CAREFIRST DC METRO AREA" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".
  • Identifier: L076 . This is a "CAREFIRST MARYLAND" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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