Provider Demographics
NPI:1205226289
Name:COASTAL HEARING AND BALANCE, LLC
Entity Type:Organization
Organization Name:COASTAL HEARING AND BALANCE, LLC
Other - Org Name:ASCENT AUDIOLOGY AND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:P
Authorized Official - Last Name:TUBERTINI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:251-550-6514
Mailing Address - Street 1:101 LOTTIE LN STE 2
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7309
Mailing Address - Country:US
Mailing Address - Phone:251-990-0535
Mailing Address - Fax:251-990-0538
Practice Address - Street 1:101 LOTTIE LN STE 2
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7309
Practice Address - Country:US
Practice Address - Phone:251-990-0535
Practice Address - Fax:251-990-0538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment