Provider Demographics
NPI:1407127129
Name:HEARING PROFESSIONALS TROY LLC
Entity Type:Organization
Organization Name:HEARING PROFESSIONALS TROY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-492-9982
Mailing Address - Street 1:1853 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-2303
Mailing Address - Country:US
Mailing Address - Phone:937-335-4866
Mailing Address - Fax:937-335-4995
Practice Address - Street 1:1853 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-2303
Practice Address - Country:US
Practice Address - Phone:937-335-4866
Practice Address - Fax:937-335-4995
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:.ORL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-26
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG82607Medicare UPIN
OH2060700Medicaid
OH0862751Medicare Oscar/Certification