Provider Demographics
NPI:1619551884
Name:INNOVATIVE HEARING SOLUTIONS, INC
Entity Type:Organization
Organization Name:INNOVATIVE HEARING SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:CAMPELLONE
Authorized Official - Suffix:
Authorized Official - Credentials:HIS-PROVIDER
Authorized Official - Phone:678-696-5470
Mailing Address - Street 1:3000 MCEVER RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5539
Mailing Address - Country:US
Mailing Address - Phone:678-696-5470
Mailing Address - Fax:678-696-5482
Practice Address - Street 1:3000 MCEVER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5539
Practice Address - Country:US
Practice Address - Phone:678-696-5470
Practice Address - Fax:678-696-5482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment