Provider Demographics
NPI:1700233467
Name:ULTIMATE HEARING SOLUTIONS III
Entity Type:Organization
Organization Name:ULTIMATE HEARING SOLUTIONS III
Other - Org Name:MIRACLE EAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOPRESTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-604-9870
Mailing Address - Street 1:435 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3810
Mailing Address - Country:US
Mailing Address - Phone:610-604-9870
Mailing Address - Fax:
Practice Address - Street 1:9351 LAKESIDE BLVD STE 103
Practice Address - Street 2:BROOKSIDE COMMERCE CENTER
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5063
Practice Address - Country:US
Practice Address - Phone:410-944-6479
Practice Address - Fax:410-944-4782
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ULTIMATE HEARING SOLUTIONS III
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-23
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAP00945-06237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty