Provider Demographics
NPI:1609383678
Name:SAMUEL ALEXANDER BRAND DBA ACCUTONE HEARING SERVICES
Entity Type:Organization
Organization Name:SAMUEL ALEXANDER BRAND DBA ACCUTONE HEARING SERVICES
Other - Org Name:ACCUTONE HEARING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEARING AID FITTER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-287-6609
Mailing Address - Street 1:365 BENNETT ST
Mailing Address - Street 2:
Mailing Address - City:LUZERNE
Mailing Address - State:PA
Mailing Address - Zip Code:18709-1500
Mailing Address - Country:US
Mailing Address - Phone:570-287-6609
Mailing Address - Fax:
Practice Address - Street 1:365 BENNETT ST
Practice Address - Street 2:
Practice Address - City:LUZERNE
Practice Address - State:PA
Practice Address - Zip Code:18709-1500
Practice Address - Country:US
Practice Address - Phone:570-287-6609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-29
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF07304237700000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty