Provider Demographics
NPI:1386822328
Name:HEARING SERVICES OF DELAWARE, INC.
Entity Type:Organization
Organization Name:HEARING SERVICES OF DELAWARE, INC.
Other - Org Name:HEARING SERVICES OF DELAWARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER/PRACTICE ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODICHOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-836-9870
Mailing Address - Street 1:104 SLEEPY HOLLOW DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5842
Mailing Address - Country:US
Mailing Address - Phone:302-376-3500
Mailing Address - Fax:302-376-5758
Practice Address - Street 1:28 PEOPLES PLZ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4727
Practice Address - Country:US
Practice Address - Phone:302-836-9870
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING SERVICES OF DELAWARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG02445Medicare PIN