Provider Demographics
NPI:1750822441
Name:ABSOLUTE HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:ABSOLUTE HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:LUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-315-5590
Mailing Address - Street 1:9212 E MONTGOMERY AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4266
Mailing Address - Country:US
Mailing Address - Phone:509-315-5590
Mailing Address - Fax:509-315-5132
Practice Address - Street 1:9212 E MONTGOMERY AVE STE 101
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4266
Practice Address - Country:US
Practice Address - Phone:509-315-5590
Practice Address - Fax:509-315-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-14
Last Update Date:2017-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA 00000535237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty