Provider Demographics
NPI:1356388920
Name:DANVILLE HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:DANVILLE HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ZENKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:434-792-5982
Mailing Address - Street 1:625 PINEY FOREST RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-2867
Mailing Address - Country:US
Mailing Address - Phone:434-792-5982
Mailing Address - Fax:434-792-5984
Practice Address - Street 1:625 PINEY FOREST RD
Practice Address - Street 2:SUITE 206
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-2867
Practice Address - Country:US
Practice Address - Phone:434-792-5982
Practice Address - Fax:434-792-5984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001258237600000X
VA2101001515237700000X
NC7144237600000X
NC1201237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA173440OtherANTHEM BC/BS