1619007267 NPI number — HENRY & STEWART AUDIOLOGY, INC

Table of content: (NPI 1619007267)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619007267 NPI number — HENRY & STEWART AUDIOLOGY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENRY & STEWART AUDIOLOGY, INC
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:
1619007267
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 HIGHLAND PARK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UNIONTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15401-8926
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-439-4380
Provider Business Mailing Address Fax Number:
724-439-4348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 HIGHLAND PARK DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-8926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-4380
Provider Business Practice Location Address Fax Number:
724-439-4348
Provider Enumeration Date:
03/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STEWART
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
K
Authorized Official Title or Position:
DOCTOR OF AUDIOLOGY
Authorized Official Telephone Number:
724-439-4380

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  AT000835L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1035665 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1431953 . This is a "GROUP BC NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001667535 0003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1532061 . This is a "UMWA HEALTH & RETIREMENT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 82849 . This is a "UNISON HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com