Provider Demographics
NPI:1376681700
Name:GILBERT'S AUDIOLOGY AND HEARING AID CENTER
Entity Type:Organization
Organization Name:GILBERT'S AUDIOLOGY AND HEARING AID CENTER
Other - Org Name:MAICO HEARING AID SERVICE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:918-744-0440
Mailing Address - Street 1:2525 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-1713
Mailing Address - Country:US
Mailing Address - Phone:918-744-0440
Mailing Address - Fax:
Practice Address - Street 1:2525 E 21ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-1713
Practice Address - Country:US
Practice Address - Phone:918-744-0440
Practice Address - Fax:918-743-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK279174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty