Provider Demographics
NPI:1467824961
Name:SIMPLY HH&K LLC
Entity Type:Organization
Organization Name:SIMPLY HH&K LLC
Other - Org Name:PURTONE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CELINA
Authorized Official - Middle Name:H
Authorized Official - Last Name:FAIN
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:928-855-9770
Mailing Address - Street 1:55 LAKE HAVASU AVE S STE L
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-0938
Mailing Address - Country:US
Mailing Address - Phone:829-855-9770
Mailing Address - Fax:928-855-9774
Practice Address - Street 1:55 LAKE HAVASU AVE S STE L
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-0938
Practice Address - Country:US
Practice Address - Phone:829-855-9770
Practice Address - Fax:928-855-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD6181174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty