Provider Demographics
NPI:1356552780
Name:DELAWARE HEARING AID CONSULTANTS S CORPORATION
Entity type:Organization
Organization Name:DELAWARE HEARING AID CONSULTANTS S CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER HEARING AID DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:TYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCA
Authorized Official - Phone:302-836-9870
Mailing Address - Street 1:SUITE 28
Mailing Address - Street 2:PEOPLES PLAZA
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4722
Mailing Address - Country:US
Mailing Address - Phone:302-836-9870
Mailing Address - Fax:302-836-4264
Practice Address - Street 1:SUITE 28
Practice Address - Street 2:PEOPLES PLAZA
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4722
Practice Address - Country:US
Practice Address - Phone:302-836-9870
Practice Address - Fax:302-836-4264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0455967000OtherAMERIHEALTH HMO
DE0455967000OtherAMERIHEALTH HMO
DE10Medicare PIN