Provider Demographics
NPI:1720523350
Name:CENTER FOR BETTER HEARING LLC
Entity Type:Organization
Organization Name:CENTER FOR BETTER HEARING LLC
Other - Org Name:CENTER FOR BETTER HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYUBOV
Authorized Official - Middle Name:S
Authorized Official - Last Name:NEMANOV
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:303-736-6555
Mailing Address - Street 1:4350 WADSWORTH BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4655
Mailing Address - Country:US
Mailing Address - Phone:303-736-6555
Mailing Address - Fax:303-736-6533
Practice Address - Street 1:4350 WADSWORTH BLVD STE 340
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4655
Practice Address - Country:US
Practice Address - Phone:303-736-6555
Practice Address - Fax:303-736-6533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAUD.0000435231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty