Provider Demographics
NPI:1780093815
Name:AFFORDABLE HEARING SOLUTIONS LLC
Entity type:Organization
Organization Name:AFFORDABLE HEARING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT FITTER AND DISPE
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:KLUMB
Authorized Official - Suffix:
Authorized Official - Credentials:HA00002324
Authorized Official - Phone:425-931-5278
Mailing Address - Street 1:5227 161ST PL SW
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-4714
Mailing Address - Country:US
Mailing Address - Phone:425-931-5278
Mailing Address - Fax:
Practice Address - Street 1:16825 48TH AVE W STE 105
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-6402
Practice Address - Country:US
Practice Address - Phone:425-931-5278
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-02
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237700000X
WAHA00002324332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty