Provider Demographics
NPI:1710314315
Name:CHARLESTON HEARING CARE, LLC
Entity Type:Organization
Organization Name:CHARLESTON HEARING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:D
Authorized Official - Last Name:LAUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:304-542-3512
Mailing Address - Street 1:216 BROOKS ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1828
Mailing Address - Country:US
Mailing Address - Phone:304-542-3512
Mailing Address - Fax:
Practice Address - Street 1:216 BROOKS ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1828
Practice Address - Country:US
Practice Address - Phone:304-542-3512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVA0026231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty