Provider Demographics
NPI:1740656362
Name:DR, WOODS HEARING CENTER LLC
Entity type:Organization
Organization Name:DR, WOODS HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LORNA
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-889-7434
Mailing Address - Street 1:76 ALLDS ST
Mailing Address - Street 2:STE 3
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4758
Mailing Address - Country:US
Mailing Address - Phone:603-889-7434
Mailing Address - Fax:
Practice Address - Street 1:76 ALLDS ST
Practice Address - Street 2:STE 3
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4758
Practice Address - Country:US
Practice Address - Phone:603-889-7434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A494231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty