Provider Demographics
NPI:1295026771
Name:PURE SOUND HEARING AIDS LLC
Entity Type:Organization
Organization Name:PURE SOUND HEARING AIDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CALEB
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:AUCHEY
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:717-599-6091
Mailing Address - Street 1:620 E OREGON RD
Mailing Address - Street 2:A
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:620 E OREGON RD
Practice Address - Street 2:A
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9202
Practice Address - Country:US
Practice Address - Phone:717-599-6091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03292237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty