Provider Demographics
NPI:1053858977
Name:AFFORDABLE AUDIOLOGY & HEARING SERVICE, LLC
Entity Type:Organization
Organization Name:AFFORDABLE AUDIOLOGY & HEARING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:M
Authorized Official - Last Name:DRUMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:920-232-4752
Mailing Address - Street 1:2390 STATE ROAD 44
Mailing Address - Street 2:SUITE D
Mailing Address - City:OSHKOSH
Mailing Address - State:WI
Mailing Address - Zip Code:54904-6441
Mailing Address - Country:US
Mailing Address - Phone:920-232-4752
Mailing Address - Fax:
Practice Address - Street 1:2390 STATE ROAD 44
Practice Address - Street 2:SUITE D
Practice Address - City:OSHKOSH
Practice Address - State:WI
Practice Address - Zip Code:54904-6441
Practice Address - Country:US
Practice Address - Phone:920-232-4752
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty