Provider Demographics
NPI:1043435381
Name:IN-HOME HEARING AID SERVICES
Entity Type:Organization
Organization Name:IN-HOME HEARING AID SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-829-5640
Mailing Address - Street 1:145 PLEASANT HILL AVE N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-3108
Mailing Address - Country:US
Mailing Address - Phone:707-829-5640
Mailing Address - Fax:707-829-5189
Practice Address - Street 1:145 PLEASANT HILL AVE N
Practice Address - Street 2:SUITE 102
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-3108
Practice Address - Country:US
Practice Address - Phone:707-829-5640
Practice Address - Fax:707-829-5189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA2284237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA2284OtherSTATE LICENSE