Provider Demographics
NPI:1003088741
Name:ARIZONA EAR & HEARING, LCC
Entity Type:Organization
Organization Name:ARIZONA EAR & HEARING, LCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RATIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:602-373-7920
Mailing Address - Street 1:1302 E STRAWBERRY DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-6897
Mailing Address - Country:US
Mailing Address - Phone:602-373-7920
Mailing Address - Fax:480-306-6237
Practice Address - Street 1:21321 E OCOTILLO RD
Practice Address - Street 2:BLDG E. SUITE 111
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85242-5996
Practice Address - Country:US
Practice Address - Phone:480-292-7100
Practice Address - Fax:480-306-6237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA2177237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty