1609027762 NPI number — HEARING CONSULTANTS OF DE, LLC

Table of content: (NPI 1609027762)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609027762 NPI number — HEARING CONSULTANTS OF DE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING CONSULTANTS OF DE, 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:
1609027762
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
97 COMMERCE WAY STE 103
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOVER
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19904-7794
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-346-4680
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
97 COMMERCE WAY STE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DOVER
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19904-7794
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-346-4680
Provider Business Practice Location Address Fax Number:
302-346-4681
Provider Enumeration Date:
10/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
OWNER/AUDIOLOGIST
Authorized Official Telephone Number:
302-346-4680

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  02-0000038 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000243604 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com