Provider Demographics
NPI:1457652455
Name:JARVIS HEARING GROUP, LLC
Entity Type:Organization
Organization Name:JARVIS HEARING GROUP, LLC
Other - Org Name:PURETONE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:JARVIS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:603-287-4502
Mailing Address - Street 1:169 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-3190
Mailing Address - Country:US
Mailing Address - Phone:603-287-4502
Mailing Address - Fax:603-287-4505
Practice Address - Street 1:169 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-3190
Practice Address - Country:US
Practice Address - Phone:603-287-4502
Practice Address - Fax:603-287-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-06
Last Update Date:2010-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH582261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech