Provider Demographics
NPI:1487209979
Name:ENCORE HEARING CONSULTANTS, LLC
Entity Type:Organization
Organization Name:ENCORE HEARING CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ HEARING AID SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:POLHILL
Authorized Official - Suffix:
Authorized Official - Credentials:LHAS
Authorized Official - Phone:386-322-0831
Mailing Address - Street 1:5889 S. WILLIAMSON BLVD
Mailing Address - Street 2:SUITE 1409
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128
Mailing Address - Country:US
Mailing Address - Phone:386-322-0831
Mailing Address - Fax:386-322-0833
Practice Address - Street 1:5889 S. WILLIAMSON BLVD
Practice Address - Street 2:SUITE 1409
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128
Practice Address - Country:US
Practice Address - Phone:386-322-0831
Practice Address - Fax:386-322-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty