Provider Demographics
NPI:1699819797
Name:DOBBINS HEARING SERVICE, P.C.
Entity Type:Organization
Organization Name:DOBBINS HEARING SERVICE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:623-583-1737
Mailing Address - Street 1:12801 W BELL RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-9797
Mailing Address - Country:US
Mailing Address - Phone:623-583-1737
Mailing Address - Fax:623-583-0607
Practice Address - Street 1:12801 W BELL RD
Practice Address - Street 2:SUITE 7
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9797
Practice Address - Country:US
Practice Address - Phone:623-583-1737
Practice Address - Fax:623-583-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA531261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZMS531Medicare ID - Type Unspecified