Provider Demographics
NPI:1528207727
Name:ADVANCED HEARING SOLUTIONS
Entity Type:Organization
Organization Name:ADVANCED HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LAPIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-424-2849
Mailing Address - Street 1:4578 HIGHLAND DR STE 270
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4214
Mailing Address - Country:US
Mailing Address - Phone:801-424-2849
Mailing Address - Fax:801-274-2026
Practice Address - Street 1:4578 HIGHLAND DR STE 270
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4214
Practice Address - Country:US
Practice Address - Phone:801-424-2849
Practice Address - Fax:801-274-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT52529302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization