Provider Demographics
NPI:1891061404
Name:NORTHEAST HEARING INSTRUMENTS, LLC
Entity Type:Organization
Organization Name:NORTHEAST HEARING INSTRUMENTS, LLC
Other - Org Name:HEARING HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FELL
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:978-663-2477
Mailing Address - Street 1:25 BRIDGE ST
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-1023
Mailing Address - Country:US
Mailing Address - Phone:978-663-2477
Mailing Address - Fax:978-362-8051
Practice Address - Street 1:25 BRIDGE ST
Practice Address - Street 2:SUITE #4
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-1023
Practice Address - Country:US
Practice Address - Phone:978-663-2477
Practice Address - Fax:978-362-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA106237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA106OtherHEARING INSTRUMENT SPECIALIST (MA)