Provider Demographics
NPI:1396926911
Name:ASSOCIATES HEARING, INC
Entity type:Organization
Organization Name:ASSOCIATES HEARING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPEAR
Authorized Official - Suffix:
Authorized Official - Credentials:MC-AAA
Authorized Official - Phone:606-437-7703
Mailing Address - Street 1:1330 S MAYO TRL
Mailing Address - Street 2:STE 302
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-2321
Mailing Address - Country:US
Mailing Address - Phone:606-437-7703
Mailing Address - Fax:606-437-7782
Practice Address - Street 1:1330 S MAYO TRL
Practice Address - Street 2:STE 302
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-2321
Practice Address - Country:US
Practice Address - Phone:606-437-7703
Practice Address - Fax:606-437-7782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0154231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7344OtherMEDICARE GROUP #
KY0734401Medicare PIN
KY7344OtherMEDICARE GROUP #