1477856276 NPI number — HEARING HEALTHCARE ASSOCIATES LLC

Table of content: (NPI 1477856276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477856276 NPI number — HEARING HEALTHCARE ASSOCIATES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING HEALTHCARE ASSOCIATES 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:
1477856276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O BOX 341803
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-469-6233
Provider Business Mailing Address Fax Number:
301-469-0407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6121 MONTROSE ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20852
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-469-6233
Provider Business Practice Location Address Fax Number:
301-469-0407
Provider Enumeration Date:
12/16/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CAFRITZ
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
MERYL
Authorized Official Title or Position:
AUDIOLOGIST/PRESIDENT
Authorized Official Telephone Number:
301-469-6233

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  00381 , 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: 45-01609 . This is a "EURICARE" identifier . This identifiers is of the category "OTHER".




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