Provider Demographics
NPI:1619007267
Name:HENRY & STEWART AUDIOLOGY, INC
Entity Type:Organization
Organization Name:HENRY & STEWART AUDIOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:K
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:724-439-4380
Mailing Address - Street 1:10 HIGHLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-8926
Mailing Address - Country:US
Mailing Address - Phone:724-439-4380
Mailing Address - Fax:724-439-4348
Practice Address - Street 1:10 HIGHLAND PARK DR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8926
Practice Address - Country:US
Practice Address - Phone:724-439-4380
Practice Address - Fax:724-439-4348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000835L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1035665OtherGATEWAY
PA1431953OtherGROUP BC NUMBER
PA001667535 0003Medicaid
PA1532061OtherUMWA HEALTH & RETIREMENT
PA82849OtherUNISON HEALTH PLAN
PA82849OtherUNISON HEALTH PLAN
PA1532061OtherUMWA HEALTH & RETIREMENT