Provider Demographics
NPI:1508160573
Name:PROFESSIONAL HEARING CARE SERVICES, INC
Entity Type:Organization
Organization Name:PROFESSIONAL HEARING CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:S
Authorized Official - Last Name:NISWANDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-447-9671
Mailing Address - Street 1:3006 N HIGH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1145
Mailing Address - Country:US
Mailing Address - Phone:614-447-9671
Mailing Address - Fax:614-261-9074
Practice Address - Street 1:3006 N HIGH ST
Practice Address - Street 2:SUITE C
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1145
Practice Address - Country:US
Practice Address - Phone:614-447-9671
Practice Address - Fax:614-261-9074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-05
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA-0153231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty