Provider Demographics
NPI:1851424303
Name:ADVANCED HEARING & BALANCE CARE LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING & BALANCE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:D'ALESSANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:610-296-5857
Mailing Address - Street 1:30 S VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-1450
Mailing Address - Country:US
Mailing Address - Phone:610-296-5857
Mailing Address - Fax:610-296-2045
Practice Address - Street 1:30 S VALLEY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1450
Practice Address - Country:US
Practice Address - Phone:610-296-5857
Practice Address - Fax:610-296-2045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAAL206681Medicare PIN