Provider Demographics
NPI:1508921701
Name:ASSOCIATED AUDIOLOGIC CONSULTANTS,INC
Entity Type:Organization
Organization Name:ASSOCIATED AUDIOLOGIC CONSULTANTS,INC
Other - Org Name:HEAR NOW HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:KEELS
Authorized Official - Suffix:
Authorized Official - Credentials:MACCCA
Authorized Official - Phone:215-561-0550
Mailing Address - Street 1:1920 CHESTNUT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-4634
Mailing Address - Country:US
Mailing Address - Phone:215-561-0550
Mailing Address - Fax:215-561-1235
Practice Address - Street 1:1920 CHESTNUT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-4634
Practice Address - Country:US
Practice Address - Phone:215-561-0550
Practice Address - Fax:215-561-1235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000228L237600000X
NJ41YA00045200237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5001521174Medicaid
NJ029040Medicare ID - Type Unspecified
PA5001521174Medicaid