Provider Demographics
NPI:1326315201
Name:EXPERT AUDITORY REHABILITATION SERVICES, LLC
Entity Type:Organization
Organization Name:EXPERT AUDITORY REHABILITATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DRU
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:318-812-3277
Mailing Address - Street 1:PO BOX 2214
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71294-2214
Mailing Address - Country:US
Mailing Address - Phone:318-812-3277
Mailing Address - Fax:318-812-3278
Practice Address - Street 1:105 MCMILLAN RD
Practice Address - Street 2:SUITE A
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-5319
Practice Address - Country:US
Practice Address - Phone:318-812-3277
Practice Address - Fax:318-812-3278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7073430001332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment