Provider Demographics
NPI:1679893705
Name:SOUND CHOICE HEARING CENTER LLC
Entity Type:Organization
Organization Name:SOUND CHOICE HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:505-341-1300
Mailing Address - Street 1:4811 HARDWARE DR NE
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2017
Mailing Address - Country:US
Mailing Address - Phone:505-341-1300
Mailing Address - Fax:505-341-0956
Practice Address - Street 1:4811 HARDWARE DR NE
Practice Address - Street 2:SUITE C-2
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2017
Practice Address - Country:US
Practice Address - Phone:505-341-1300
Practice Address - Fax:505-341-0956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-11
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM645332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment