Provider Demographics
NPI:1235608365
Name:PITTSBURGH EAR LLC
Entity Type:Organization
Organization Name:PITTSBURGH EAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN & CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-321-2480
Mailing Address - Street 1:6041 WALLACE ROAD EXT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:412-321-2480
Mailing Address - Fax:724-934-2267
Practice Address - Street 1:6041 WALLACE ROAD EXT
Practice Address - Street 2:SUITE 110
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:412-321-2480
Practice Address - Fax:724-934-2267
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PITTSBURGH EAR ASSOCIATES P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty