Provider Demographics
NPI:1508016718
Name:JONESBORO HEARING AID SERV.
Entity Type:Organization
Organization Name:JONESBORO HEARING AID SERV.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTRUMENT S
Authorized Official - Phone:870-932-3002
Mailing Address - Street 1:1825 E. NETTLETON
Mailing Address - Street 2:STE E
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401
Mailing Address - Country:US
Mailing Address - Phone:870-932-3002
Mailing Address - Fax:870-932-3002
Practice Address - Street 1:1825 E. NETTLETON
Practice Address - Street 2:STE E
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:870-932-3002
Practice Address - Fax:870-932-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment