Provider Demographics
NPI:1396189122
Name:DELAWARE VALLEY HEARING AID SERVICES
Entity Type:Organization
Organization Name:DELAWARE VALLEY HEARING AID SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANNIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-419-8522
Mailing Address - Street 1:PO BOX 686
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-0686
Mailing Address - Country:US
Mailing Address - Phone:617-849-2144
Mailing Address - Fax:
Practice Address - Street 1:500 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1353
Practice Address - Country:US
Practice Address - Phone:267-419-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD01073332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment