Provider Demographics
NPI:1427203041
Name:ALPHAHEARINGAIDCENTER
Entity Type:Organization
Organization Name:ALPHAHEARINGAIDCENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER FITTER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFONS
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMOKOWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-275-3917
Mailing Address - Street 1:615 MONTOUR BLVD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-9112
Mailing Address - Country:US
Mailing Address - Phone:570-275-3917
Mailing Address - Fax:570-275-4701
Practice Address - Street 1:615 MONTOUR BLVD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-9112
Practice Address - Country:US
Practice Address - Phone:570-275-3917
Practice Address - Fax:570-275-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFO2134237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty