Provider Demographics
NPI:1609027762
Name:HEARING CONSULTANTS OF DE, LLC
Entity Type:Organization
Organization Name:HEARING CONSULTANTS OF DE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:L
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:302-346-4680
Mailing Address - Street 1:97 COMMERCE WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-7794
Mailing Address - Country:US
Mailing Address - Phone:302-346-4680
Mailing Address - Fax:
Practice Address - Street 1:97 COMMERCE WAY STE 103
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-7794
Practice Address - Country:US
Practice Address - Phone:302-346-4680
Practice Address - Fax:302-346-4681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE02-0000038237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000000243604Medicaid