Provider Demographics
NPI:1083870034
Name:ADVANCED HEARING CARE INC
Entity Type:Organization
Organization Name:ADVANCED HEARING CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:ZANETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-849-8604
Mailing Address - Street 1:900 JOHNNIE DODDS BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-6130
Mailing Address - Country:US
Mailing Address - Phone:843-849-8604
Mailing Address - Fax:
Practice Address - Street 1:900 JOHNNIE DODDS BLVD
Practice Address - Street 2:STE 101
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-6130
Practice Address - Country:US
Practice Address - Phone:843-849-8604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC461231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ290149100OtherMEDICARE NON-PAR PROVIDER NUMBER
SCQ349409100OtherMEDICARE NON-PAR PROVIDER NUMBER