1588103808 NPI number — HEARING AID SOLUTIONS LLC

Table of content: (NPI 1588103808)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588103808 NPI number — HEARING AID SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING AID 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:
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:
1588103808
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/20/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
59 TREETOP LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLAIRSVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30512-5358
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-400-9669
Provider Business Mailing Address Fax Number:
706-429-0176

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
169 HWY 9
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
DAWSONVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-429-0177
Provider Business Practice Location Address Fax Number:
706-429-0176
Provider Enumeration Date:
02/20/2017

Additional Information

Authorized Official

Authorized Official Last Name:
SPAULDING
Authorized Official First Name:
DEBRA
Authorized Official Middle Name:
DEE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
706-400-9669

Provider Taxonomy Codes

  • Taxonomy code: 237700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com