Provider Demographics
NPI:1760500490
Name:ADVANCED TECH HEARING AID CENTERS
Entity Type:Organization
Organization Name:ADVANCED TECH HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHENK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-560-5023
Mailing Address - Street 1:1887 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6516
Mailing Address - Country:US
Mailing Address - Phone:717-560-5023
Mailing Address - Fax:717-560-5995
Practice Address - Street 1:1887 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6516
Practice Address - Country:US
Practice Address - Phone:717-560-5023
Practice Address - Fax:717-560-5995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001122L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHEALTH ASSURANCEOtherHEALTH ASSURANCE
PA1911933OtherHIGHMARK BLUESHIELD
PA302619OtherHEALTH ASSURANCE
PA338878Other338878
PA338878Other338878