Provider Demographics
NPI:1720175185
Name:PHELAN'S HEARING CARE, INC.
Entity Type:Organization
Organization Name:PHELAN'S HEARING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHELAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:205-444-2299
Mailing Address - Street 1:2172 PELHAM PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1118
Mailing Address - Country:US
Mailing Address - Phone:205-444-2299
Mailing Address - Fax:205-444-0199
Practice Address - Street 1:2172 PELHAM PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1118
Practice Address - Country:US
Practice Address - Phone:205-444-2299
Practice Address - Fax:205-444-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4088332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL05987OtherHEARUSA/NECP
AL7275805OtherAETNA
AL515-06566OtherBC/BS
AL05987OtherHEARUSA/NECP