Provider Demographics
NPI:1831397330
Name:CLEARTONE HEARING CENTER
Entity type:Organization
Organization Name:CLEARTONE HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JAHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRAVAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-855-5252
Mailing Address - Street 1:1930 MESQUITE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-5674
Mailing Address - Country:US
Mailing Address - Phone:928-855-5252
Mailing Address - Fax:
Practice Address - Street 1:1930 MESQUITE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5674
Practice Address - Country:US
Practice Address - Phone:928-855-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty