Provider Demographics
NPI:1225062763
Name:ADVANCED TECH HEARING AID CENTERS
Entity Type:Organization
Organization Name:ADVANCED TECH HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOYLE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KOCHER
Authorized Official - Suffix:
Authorized Official - Credentials:ACA,BC-HIS
Authorized Official - Phone:717-560-5023
Mailing Address - Street 1:1875 LITITZ PIKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6515
Mailing Address - Country:US
Mailing Address - Phone:717-560-5023
Mailing Address - Fax:717-560-5995
Practice Address - Street 1:1875 LITITZ PIKE
Practice Address - Street 2:SUITE 5
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6515
Practice Address - Country:US
Practice Address - Phone:717-560-5023
Practice Address - Fax:717-560-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02444332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA090684Medicare ID - Type UnspecifiedAUDIOLOGY PRODUCTS & SERV