1306988829 NPI number — FAMILY HEARING CENTER ZEIGLER AUDIOLOGY LLC

Table of content: (NPI 1306988829)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306988829 NPI number — FAMILY HEARING CENTER ZEIGLER AUDIOLOGY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY HEARING CENTER ZEIGLER AUDIOLOGY 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:
6
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:
1306988829
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 3RD AVE
Provider Second Line Business Mailing Address:
SUITE 109 PARK OFFICE BUILDING
Provider Business Mailing Address City Name:
KINGSTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18704-5816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-714-2656
Provider Business Mailing Address Fax Number:
570-714-2799

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 3RD AVE
Provider Second Line Business Practice Location Address:
SUITE 109 PARK OFFICE BUILDING
Provider Business Practice Location Address City Name:
KINGSTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18704-5816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-714-2656
Provider Business Practice Location Address Fax Number:
570-714-2799
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ZEIGLER
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
AUDIOLOGIST-OWNER
Authorized Official Telephone Number:
570-714-2656

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 089099 . This is a "BC-BS FREEDOM BLUE PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1011494070001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AS1702377 . This is a "BC-BS PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1011494070002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 171319 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: AS1702377 . This is a "BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: AS1702377 . This is a "PEBTF-BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com