1710377668 NPI number — C.A. CLARITY HEARING AIDS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710377668 NPI number — C.A. CLARITY HEARING AIDS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
C.A. CLARITY HEARING AIDS, 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:
1710377668
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/30/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1610 N 3RD ST
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
HARRISBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17102-1912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-599-6091
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 LINGLESTOWN RD
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-9183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-409-8748
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2015

Additional Information

Authorized Official

Authorized Official Last Name:
AUCHEY
Authorized Official First Name:
CALEB
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
717-409-8748

Provider Taxonomy Codes

  • Taxonomy code: 332S00000X , with the licence number:  F03292 , 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)





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