Provider Demographics
NPI:1083664098
Name:PAHEL AUDIOLOGY AND HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:PAHEL AUDIOLOGY AND HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:PAHEL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCCA
Authorized Official - Phone:336-272-1721
Mailing Address - Street 1:100 E NORTHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1310
Mailing Address - Country:US
Mailing Address - Phone:336-272-1721
Mailing Address - Fax:336-272-9069
Practice Address - Street 1:100 E NORTHWOOD ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1310
Practice Address - Country:US
Practice Address - Phone:336-272-1721
Practice Address - Fax:336-272-9069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC415231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3404198Medicaid
NC7465122Medicaid
NC3404198Medicaid