Provider Demographics
NPI:1770737165
Name:PURTONE HEARING CENTERS LLC
Entity type:Organization
Organization Name:PURTONE HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:MAZNIO
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:623-877-9900
Mailing Address - Street 1:20350 N CAVE CREEK RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1283
Mailing Address - Country:US
Mailing Address - Phone:602-971-3900
Mailing Address - Fax:
Practice Address - Street 1:20350 N CAVE CREEK RD
Practice Address - Street 2:SUITE 130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1283
Practice Address - Country:US
Practice Address - Phone:602-971-3900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD4599237700000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty