Provider Demographics
NPI:1750606372
Name:ELITE AUDIOLOGY AND HEARING CARE, PLLC
Entity type:Organization
Organization Name:ELITE AUDIOLOGY AND HEARING CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ROMINE
Authorized Official - Last Name:MCGLOTHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:615-758-7118
Mailing Address - Street 1:541 N MOUNT JULIET RD
Mailing Address - Street 2:SUITE 2204
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3873
Mailing Address - Country:US
Mailing Address - Phone:615-758-7118
Mailing Address - Fax:615-758-7113
Practice Address - Street 1:541 N MOUNT JULIET RD
Practice Address - Street 2:SUITE 2204
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3873
Practice Address - Country:US
Practice Address - Phone:615-758-7118
Practice Address - Fax:615-758-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1444332S00000X, 261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No332S00000XSuppliersHearing Aid Equipment