Provider Demographics
NPI:1376100859
Name:VIRTUAL BENEFIT SOLUTIONS INC
Entity Type:Organization
Organization Name:VIRTUAL BENEFIT SOLUTIONS INC
Other - Org Name:VIRTUAL BENEFIT SOLUTIONS INC HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TYRONE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-270-8171
Mailing Address - Street 1:39899 BALENTINE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5361
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:39899 BALENTINE DR STE 200
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5361
Practice Address - Country:US
Practice Address - Phone:800-453-1420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2023-03-01
Deactivation Date:2019-06-12
Deactivation Code:
Reactivation Date:2019-06-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty