Provider Demographics
NPI:1598168577
Name:SOPHISTICATED HEARING AIDS LLC
Entity Type:Organization
Organization Name:SOPHISTICATED HEARING AIDS LLC
Other - Org Name:SOPHISTICATED HEARING LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:SCD
Authorized Official - Phone:201-445-2455
Mailing Address - Street 1:50 N FRANKLIN TPKE STE B1
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1562
Mailing Address - Country:US
Mailing Address - Phone:201-445-2455
Mailing Address - Fax:
Practice Address - Street 1:50 N FRANKLIN TPKE STE B1
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1562
Practice Address - Country:US
Practice Address - Phone:201-445-2455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00082000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty