Provider Demographics
NPI:1902185267
Name:AFFORDABLE HEARING NETWORKS LLC
Entity Type:Organization
Organization Name:AFFORDABLE HEARING NETWORKS LLC
Other - Org Name:WASATCH AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-424-2849
Mailing Address - Street 1:4578 HIGHLAND DR
Mailing Address - Street 2:270
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4243
Mailing Address - Country:US
Mailing Address - Phone:801-424-2849
Mailing Address - Fax:801-274-2026
Practice Address - Street 1:4578 HIGHLAND DR
Practice Address - Street 2:270
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4243
Practice Address - Country:US
Practice Address - Phone:801-424-2849
Practice Address - Fax:801-274-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty