Provider Demographics
NPI:1255965737
Name:COMPLETE HEARING LLC
Entity type:Organization
Organization Name:COMPLETE HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALDING
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:334-791-0120
Mailing Address - Street 1:2240 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1222
Mailing Address - Country:US
Mailing Address - Phone:334-791-0125
Mailing Address - Fax:334-699-2545
Practice Address - Street 1:2240 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-1222
Practice Address - Country:US
Practice Address - Phone:334-791-0125
Practice Address - Fax:334-699-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty