Provider Demographics
NPI:1265065338
Name:WEBB HEARING OF THE WEST VALLEY LLC
Entity type:Organization
Organization Name:WEBB HEARING OF THE WEST VALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:HAD
Authorized Official - Phone:623-214-5885
Mailing Address - Street 1:14755 W R H JOHNSON BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-6059
Mailing Address - Country:US
Mailing Address - Phone:623-214-5885
Mailing Address - Fax:
Practice Address - Street 1:14755 W R H JOHNSON BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-6059
Practice Address - Country:US
Practice Address - Phone:623-214-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech