Provider Demographics
NPI:1720365588
Name:CALDWELL AND COOK HEARING SERVICES, INC.
Entity Type:Organization
Organization Name:CALDWELL AND COOK HEARING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-236-3865
Mailing Address - Street 1:3940 S DANVILLE BYP
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-2529
Mailing Address - Country:US
Mailing Address - Phone:859-236-3865
Mailing Address - Fax:859-236-1690
Practice Address - Street 1:3940 S DANVILLE BYP
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-2529
Practice Address - Country:US
Practice Address - Phone:859-236-3865
Practice Address - Fax:859-236-1690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-08
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000065712OtherBLUECROSS AND BLUESHIELD