Provider Demographics
NPI:1629680863
Name:BDE LLC
Entity Type:Organization
Organization Name:BDE LLC
Other - Org Name:LIFESOUND HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-387-1065
Mailing Address - Street 1:3722 LEHIGH ST STE 406
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3439
Mailing Address - Country:US
Mailing Address - Phone:484-397-1065
Mailing Address - Fax:805-275-1985
Practice Address - Street 1:640 W DEKALB PIKE STE 1221
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-5024
Practice Address - Country:US
Practice Address - Phone:610-768-4023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty