Provider Demographics
NPI:1679847222
Name:CLEARSOUND HEARING SERVICES, LLC
Entity Type:Organization
Organization Name:CLEARSOUND HEARING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, HEARING AID FITTER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID FITTER
Authorized Official - Phone:570-337-7899
Mailing Address - Street 1:514 WELDON ST
Mailing Address - Street 2:
Mailing Address - City:MONTOURSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17754-1316
Mailing Address - Country:US
Mailing Address - Phone:570-337-7899
Mailing Address - Fax:
Practice Address - Street 1:514 WELDON ST
Practice Address - Street 2:
Practice Address - City:MONTOURSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17754-1316
Practice Address - Country:US
Practice Address - Phone:570-337-7899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-29
Last Update Date:2012-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03351332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment