Provider Demographics
NPI:1821185331
Name:HEARING & EAR CARE CENTER, LLC
Entity Type:Organization
Organization Name:HEARING & EAR CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GONYA-HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-653-6300
Mailing Address - Street 1:806 W MAIN ST
Mailing Address - Street 2:PO BOX 375
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-1810
Mailing Address - Country:US
Mailing Address - Phone:717-653-6300
Mailing Address - Fax:717-653-5595
Practice Address - Street 1:806 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOUNT JOY
Practice Address - State:PA
Practice Address - Zip Code:17552-1810
Practice Address - Country:US
Practice Address - Phone:717-653-6300
Practice Address - Fax:717-653-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000569L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
238574Medicare ID - Type Unspecified