Provider Demographics
NPI:1417360876
Name:D'AURORA HEARING AND AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:D'AURORA HEARING AND AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:R
Authorized Official - Last Name:D'AURORA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:724-668-5091
Mailing Address - Street 1:8279 ROUTE 22
Mailing Address - Street 2:SUITE 11
Mailing Address - City:NEW ALEXANDRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15670-3155
Mailing Address - Country:US
Mailing Address - Phone:724-668-5091
Mailing Address - Fax:724-668-5092
Practice Address - Street 1:8279 ROUTE 22
Practice Address - Street 2:SUITE 11
Practice Address - City:NEW ALEXANDRIA
Practice Address - State:PA
Practice Address - Zip Code:15670-3155
Practice Address - Country:US
Practice Address - Phone:724-668-5091
Practice Address - Fax:724-668-5092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000525L332S00000X
PAD01160332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment