Provider Demographics
NPI:1376903864
Name:ALL ABOUT EARS LLC
Entity Type:Organization
Organization Name:ALL ABOUT EARS LLC
Other - Org Name:ADVANCED HEARING HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIRIENZO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:860-859-8805
Mailing Address - Street 1:41B NEW LONDON TPKE
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-4240
Mailing Address - Country:US
Mailing Address - Phone:860-659-8805
Mailing Address - Fax:
Practice Address - Street 1:41B NEW LONDON TPKE
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4240
Practice Address - Country:US
Practice Address - Phone:860-659-8805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000457261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech