Provider Demographics
NPI:1073219986
Name:CREATIVE HEARING SOLUTIONS
Entity Type:Organization
Organization Name:CREATIVE HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PALILIS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:707-759-4419
Mailing Address - Street 1:744 EMPIRE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-5562
Mailing Address - Country:US
Mailing Address - Phone:707-759-4419
Mailing Address - Fax:510-483-3685
Practice Address - Street 1:744 EMPIRE ST STE 210
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-5562
Practice Address - Country:US
Practice Address - Phone:707-759-4419
Practice Address - Fax:510-483-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty