Provider Demographics
NPI:1669773560
Name:AAA EAR & AID SPECIALISTS
Entity type:Organization
Organization Name:AAA EAR & AID SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SKOLNICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-728-6410
Mailing Address - Street 1:703 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PRESTO
Mailing Address - State:PA
Mailing Address - Zip Code:15142-1142
Mailing Address - Country:US
Mailing Address - Phone:724-728-6410
Mailing Address - Fax:724-728-6412
Practice Address - Street 1:4955 STEUBENVILLE PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9619
Practice Address - Country:US
Practice Address - Phone:412-788-0444
Practice Address - Fax:412-788-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00282261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech