Provider Demographics
NPI:1821334251
Name:HERITAGE HEARING AID CENTERS, LLC
Entity Type:Organization
Organization Name:HERITAGE HEARING AID CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOSY
Authorized Official - Suffix:
Authorized Official - Credentials:L-HIS
Authorized Official - Phone:304-538-3464
Mailing Address - Street 1:305 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26847-1717
Mailing Address - Country:US
Mailing Address - Phone:304-257-2205
Mailing Address - Fax:304-257-2205
Practice Address - Street 1:305 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847-1717
Practice Address - Country:US
Practice Address - Phone:304-257-2205
Practice Address - Fax:304-257-2205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERITAGE HEARING AID CENTERS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment