Provider Demographics
NPI:1144596818
Name:PERFORMANCE HEARING SOLUTIONS
Entity Type:Organization
Organization Name:PERFORMANCE HEARING SOLUTIONS
Other - Org Name:CLEAR HEARING EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-566-5893
Mailing Address - Street 1:8683 SO 700 E
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-1804
Mailing Address - Country:US
Mailing Address - Phone:801-566-0240
Mailing Address - Fax:801-566-0669
Practice Address - Street 1:8683 SO 700 E
Practice Address - Street 2:SUITE 200
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-1804
Practice Address - Country:US
Practice Address - Phone:801-566-0240
Practice Address - Fax:801-566-0669
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PERFORMANCE HEARING SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT0014249332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment