Provider Demographics
NPI:1023552890
Name:CHENAL HEARING, P.A.
Entity Type:Organization
Organization Name:CHENAL HEARING, P.A.
Other - Org Name:CHENAL HEARING CENTER, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:501-432-7464
Mailing Address - Street 1:15300 KANIS RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-2004
Mailing Address - Country:US
Mailing Address - Phone:501-821-1234
Mailing Address - Fax:501-476-4321
Practice Address - Street 1:17200 CHENAL PKWY STE 170
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-5960
Practice Address - Country:US
Practice Address - Phone:501-432-7464
Practice Address - Fax:501-232-2632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-13
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty