Provider Demographics
NPI:1821136615
Name:SHARON A. CRAFT, ACCUTONE HEARING AID CENTER
Entity Type:Organization
Organization Name:SHARON A. CRAFT, ACCUTONE HEARING AID CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRAFT
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING INSTR SPECI
Authorized Official - Phone:814-255-4688
Mailing Address - Street 1:322 WARREN STREET
Mailing Address - Street 2:SUITE 180
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-3443
Mailing Address - Country:US
Mailing Address - Phone:814-255-4688
Mailing Address - Fax:814-255-7962
Practice Address - Street 1:322 WARREN STREET
Practice Address - Street 2:SUITE 180
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-3443
Practice Address - Country:US
Practice Address - Phone:814-255-4688
Practice Address - Fax:814-255-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00631332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101833361 0001Medicaid
PA224549OtherHIGHMARK BC PROVIDER NUMB