Provider Demographics
NPI:1326234956
Name:ADVANCED HEARING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:THIBERT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:920-434-6777
Mailing Address - Street 1:2331 VELP AVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-6592
Mailing Address - Country:US
Mailing Address - Phone:920-434-6777
Mailing Address - Fax:920-434-6988
Practice Address - Street 1:2331 VELP AVE
Practice Address - Street 2:SUITE G
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-6592
Practice Address - Country:US
Practice Address - Phone:920-434-6777
Practice Address - Fax:920-434-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI464261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech