Provider Demographics
NPI:1093980310
Name:LARKIN HEARING CENTERS
Entity Type:Organization
Organization Name:LARKIN HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:LARKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:801-525-5254
Mailing Address - Street 1:1528 WOODLAND PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-5635
Mailing Address - Country:US
Mailing Address - Phone:801-525-5254
Mailing Address - Fax:801-525-2016
Practice Address - Street 1:1528 WOODLAND PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-5635
Practice Address - Country:US
Practice Address - Phone:801-525-5254
Practice Address - Fax:801-525-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6238741-4601302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization