Provider Demographics
NPI:1437239647
Name:DOTHAN HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:DOTHAN HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS, COHC
Authorized Official - Phone:334-794-2294
Mailing Address - Street 1:2815 ROSS CLARK CIR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-2016
Mailing Address - Country:US
Mailing Address - Phone:334-794-2294
Mailing Address - Fax:334-792-5361
Practice Address - Street 1:2815 ROSS CLARK CIR
Practice Address - Street 2:SUITE 1
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-2016
Practice Address - Country:US
Practice Address - Phone:334-794-2294
Practice Address - Fax:334-792-5361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4046237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51056823OtherBCBS OF AL