Provider Demographics
NPI:1174827257
Name:HAMPSHIRE HEARING SERVICES, LLC
Entity Type:Organization
Organization Name:HAMPSHIRE HEARING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:T
Authorized Official - Last Name:SHINNER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:413-586-9572
Mailing Address - Street 1:241 KING ST
Mailing Address - Street 2:SUITE 119
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2335
Mailing Address - Country:US
Mailing Address - Phone:413-586-9572
Mailing Address - Fax:
Practice Address - Street 1:241 KING ST
Practice Address - Street 2:SUITE 119
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2335
Practice Address - Country:US
Practice Address - Phone:413-586-9572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech