Provider Demographics
NPI:1114507969
Name:HEARING SCREENING ASSOCIATES LLC
Entity Type:Organization
Organization Name:HEARING SCREENING ASSOCIATES LLC
Other - Org Name:HEARING SCREENING ASSOCIATES-GLENWOOD SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLENSBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-857-6853
Mailing Address - Street 1:3333 N KENNICOTT AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1429
Mailing Address - Country:US
Mailing Address - Phone:855-550-9427
Mailing Address - Fax:224-434-4944
Practice Address - Street 1:1906 BLAKE AVE
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4227
Practice Address - Country:US
Practice Address - Phone:855-550-9427
Practice Address - Fax:224-434-4944
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING SCREENING ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-14
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty