Provider Demographics
NPI:1104377290
Name:NORTH CENTRAL HEARING ASSOCIATES
Entity Type:Organization
Organization Name:NORTH CENTRAL HEARING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:STRAUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-724-5575
Mailing Address - Street 1:2-B WALN STREET
Mailing Address - Street 2:
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901
Mailing Address - Country:US
Mailing Address - Phone:570-724-5575
Mailing Address - Fax:
Practice Address - Street 1:2 WALN ST
Practice Address - Street 2:B
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1148
Practice Address - Country:US
Practice Address - Phone:570-724-5575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000338L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty