Provider Demographics
NPI:1669768727
Name:DIGITAL HEARING OUTLET, LLC.
Entity type:Organization
Organization Name:DIGITAL HEARING OUTLET, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ARNDT
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:803-490-2920
Mailing Address - Street 1:5609 SUNSET BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-2763
Mailing Address - Country:US
Mailing Address - Phone:615-447-5660
Mailing Address - Fax:803-821-9237
Practice Address - Street 1:5609 SUNSET BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2763
Practice Address - Country:US
Practice Address - Phone:803-490-2920
Practice Address - Fax:803-821-9237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000715237700000X
CAHA 7541237700000X
KY100875237700000X
SCHAS-0606237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty