Provider Demographics
NPI:1518240407
Name:FREDERICK HEARING CENT LLC
Entity Type:Organization
Organization Name:FREDERICK HEARING CENT LLC
Other - Org Name:SONUS SF0025
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-663-0553
Mailing Address - Street 1:310 DELAWARE RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4618
Mailing Address - Country:US
Mailing Address - Phone:301-663-0553
Mailing Address - Fax:301-663-4189
Practice Address - Street 1:310 DELAWARE RD
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4618
Practice Address - Country:US
Practice Address - Phone:301-663-0553
Practice Address - Fax:301-663-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty