Provider Demographics
NPI:1053459685
Name:SALISBURY AUDIOLOGY AND HEARING AID SERVICES, P.A.
Entity Type:Organization
Organization Name:SALISBURY AUDIOLOGY AND HEARING AID SERVICES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PITTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:704-633-6775
Mailing Address - Street 1:644 STATESVILLE BLVD
Mailing Address - Street 2:UNIT 3
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-2280
Mailing Address - Country:US
Mailing Address - Phone:704-633-6775
Mailing Address - Fax:704-633-6799
Practice Address - Street 1:644 STATESVILLE BLVD
Practice Address - Street 2:UNIT 3
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2280
Practice Address - Country:US
Practice Address - Phone:704-633-6775
Practice Address - Fax:704-633-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6424231H00000X
NC1270237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC144RKOtherBLUE CROSS BLUE SHIELD
NC7001533Medicaid
NCDN0862OtherRAILROAD MEDICARE
NC198616OtherMEDCOST
NC7001531Medicaid
NC7176965OtherAETNA
NC7176965OtherAETNA