Provider Demographics
NPI:1710697727
Name:HEARING SERVICES OF CHATTANOOGA, INC.
Entity Type:Organization
Organization Name:HEARING SERVICES OF CHATTANOOGA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER/HIS
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:423-894-1133
Mailing Address - Street 1:6151 SHALLOWFORD RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7803
Mailing Address - Country:US
Mailing Address - Phone:423-894-1133
Mailing Address - Fax:423-894-0292
Practice Address - Street 1:6151 SHALLOWFORD RD STE 104
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7803
Practice Address - Country:US
Practice Address - Phone:423-894-1133
Practice Address - Fax:423-894-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty