Provider Demographics
NPI:1699026104
Name:HEARING AID SPECIALISTS, INC.
Entity Type:Organization
Organization Name:HEARING AID SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:HAZLETT
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:928-726-7112
Mailing Address - Street 1:550 E 32ND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-3431
Mailing Address - Country:US
Mailing Address - Phone:928-726-7112
Mailing Address - Fax:927-726-5878
Practice Address - Street 1:550 E 32ND ST STE 1
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-3431
Practice Address - Country:US
Practice Address - Phone:928-726-7112
Practice Address - Fax:927-726-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBHAD1546237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty