Provider Demographics
NPI:1639544760
Name:ALABAMA HEARING AID CENTER OF TUSCALOOSA, INC
Entity type:Organization
Organization Name:ALABAMA HEARING AID CENTER OF TUSCALOOSA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BANK
Authorized Official - Suffix:
Authorized Official - Credentials:NBC-HIS
Authorized Official - Phone:205-242-5635
Mailing Address - Street 1:PO BOX 1519
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35403-1519
Mailing Address - Country:US
Mailing Address - Phone:205-242-5635
Mailing Address - Fax:205-330-0909
Practice Address - Street 1:2403 5TH ST N
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2005
Practice Address - Country:US
Practice Address - Phone:205-242-5635
Practice Address - Fax:205-330-0909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSHA0582332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment