Provider Demographics
NPI:1437756483
Name:PREMIER HEARING SPECIALISTS LLC
Entity Type:Organization
Organization Name:PREMIER HEARING SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:PREMIER HEARING
Authorized Official - Middle Name:SPECIALISTS
Authorized Official - Last Name:LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-416-2209
Mailing Address - Street 1:200 CONTINENTAL DR STE 401
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4337
Mailing Address - Country:US
Mailing Address - Phone:302-416-2209
Mailing Address - Fax:
Practice Address - Street 1:504 S CLAYTON ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4211
Practice Address - Country:US
Practice Address - Phone:302-416-2209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech